ZAIA YOUNATAN ISHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047101

License Status

NOT RENEWED

Business

First Name

ZAIA

Middle

YOUNATAN

Last Name

ISHO

Suffix

Business Name

ZAIA YOUNATAN ISHO MD

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

09/14/2006

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2006