ALI R MOAZZAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057981

License Status

EXPIRED

Business

First Name

ALI

Middle

Last Name

MOAZZAM

Suffix

Business Name

ALI R MOAZZAM MD

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2011