MOHAMMED SAMIRUDDIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051125

License Status

CANCELLED

Business

First Name

MOHAMMED

Last Name

SAMIRUDDIN

Suffix

Business Name

MOHAMMED SAMIRUDDIN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006