SIDRA MUZAFFAR BHUTTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058912

License Status

CANCELLED

Business

Title

First Name

SIDRA

Middle

MUZAFFAR

Last Name

BHUTTA

Business Name

SIDRA MUZAFFAR BHUTTA MD

Original Issue Date

06/29/2010

Effective Date

06/29/2010

Expiration Date

06/28/2013

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2010