AWAIS AZMAT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057254

License Status

CANCELLED

Business

First Name

AWAIS

Last Name

AZMAT

Business Name

AWAIS AZMAT

Original Issue Date

07/27/2009

Effective Date

07/27/2009

Expiration Date

07/26/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/27/2009