FARIED BANIMAHD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050124

License Status

EXPIRED

Business

First Name

FARIED

Last Name

BANIMAHD

Suffix

Business Name

FARIED BANIMAHD MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006