IDRIES JAMAL ABDUR-RAHMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044609

License Status

EXPIRED

Business

First Name

IDRIES

Middle

JAMAL

Last Name

ABDUR-RAHMAN

Suffix

Business Name

IDRIES JAMAL ABDUR-RAHMAN MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006