SAMIR AHMAD PESH-IMAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046269

License Status

EXPIRED

Business

First Name

SAMIR

Middle

AHMAD

Last Name

PESH-IMAM

Suffix

Business Name

SAMIR AHMAD PESH-IMAM MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

06/21/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006