ESRA FATMA TASALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041610

License Status

CANCELLED

Business

First Name

ESRA

Middle

FATMA

Last Name

TASALI

Suffix

Business Name

ESRA FATMA TASALI MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

09/30/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006