ROA MAZEN QATO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051484

License Status

EXPIRED

Business

First Name

ROA

Middle

MAZEN

Last Name

QATO

Suffix

Business Name

ROA MAZEN QATO MD

Original Issue Date

06/23/2006

Effective Date

06/23/2006

Expiration Date

06/22/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/15/2009