JAMIL BASIM DIHU Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052740

License Status

CANCELLED

Business

First Name

JAMIL

Middle

BASIM

Last Name

DIHU

Business Name

JAMIL BASIM DIHU

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2010

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/10/2009