ZAINEB SHAZIA QAYYUM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059204

License Status

CANCELLED

Business

Title

First Name

ZAINEB

Middle

SHAZIA

Last Name

QAYYUM

Business Name

ZAINEB SHAZIA QAYYUM DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2011