INSIYYAH YOUSUF PATANWALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060102

License Status

CANCELLED

Business

Title

First Name

INSIYYAH

Middle

YOUSUF

Last Name

PATANWALA

Business Name

INSIYYAH YOUSUF PATANWALA MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/24/2014