NASEEM EISA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056919

License Status

CANCELLED

Business

First Name

NASEEM

Last Name

EISA

Suffix

Business Name

NASEEM EISA MD

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

07/05/2012

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/08/2009