AZAM JAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048674

License Status

EXPIRED

Business

First Name

AZAM

Last Name

JAN

Suffix

Business Name

AZAM JAN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006