NISHAT NASRULLAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057583

License Status

CANCELLED

Business

First Name

NISHAT

Last Name

NASRULLAH

Suffix

Business Name

NISHAT NASRULLAH DO

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/05/2010