JAWARIA TABASSUM SUHAIL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057264

License Status

CANCELLED

Business

Title

First Name

JAWARIA

Middle

TABASSUM

Last Name

SUHAIL

Business Name

JAWARIA TABASSUM SUHAIL MD

Original Issue Date

08/25/2009

Effective Date

08/25/2009

Expiration Date

08/24/2012

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/25/2009