ANDRES OMAR MAKAREM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056611

License Status

EXPIRED

Business

First Name

ANDRES

Middle

OMAR

Last Name

MAKAREM

Business Name

ANDRES OMAR MAKAREM

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012