FATIMA AZIZ AHMED DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048188

License Status

EXPIRED

Business

First Name

FATIMA

Middle

AZIZ

Last Name

AHMED

Suffix

Business Name

FATIMA AZIZ AHMED DO

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2010