FARZAN MAHMOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049227

License Status

CANCELLED

Business

Title

First Name

FARZAN

Last Name

MAHMOOD

Business Name

FARZAN MAHMOOD MD

Original Issue Date

06/01/2005

Effective Date

06/01/2005

Expiration Date

05/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006