FATEMA M PHOTOWALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045515

License Status

EXPIRED

Business

Title

First Name

FATEMA

Middle

Last Name

PHOTOWALA

Business Name

FATEMA M PHOTOWALA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006