MOHAMMAD ALI KIZILBASH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043115

License Status

EXPIRED

Business

Title

First Name

MOHAMMAD

Middle

ALI

Last Name

KIZILBASH

Business Name

MOHAMMAD ALI KIZILBASH MD

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2004

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006