SUFIAN MOHAMMAD YASIN AGWANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048817

License Status

NOT RENEWED

Business

First Name

SUFIAN

Middle

MOHAMMAD YASIN

Last Name

AGWANI

Suffix

Business Name

SUFIAN MOHAMMAD YASIN AGWANI MD

Original Issue Date

09/22/2004

Effective Date

09/22/2004

Expiration Date

09/21/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

11/03/2006