AYEZAH MIR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045197

License Status

EXPIRED

Business

First Name

AYEZAH

Last Name

MIR

Suffix

Business Name

AYEZAH MIR MD

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006