LATIFA JANICE JALALI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043498

License Status

EXPIRED

Business

First Name

LATIFA

Middle

JANICE

Last Name

JALALI

Business Name

LATIFA JANICE JALALI

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006