SYEDA AMTUL NOOR FATIMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050312

License Status

CANCELLED

Business

First Name

SYEDA

Middle

AMTUL NOOR

Last Name

FATIMA

Suffix

Business Name

SYEDA AMTUL NOOR FATIMA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006