SHAHEEN FATIMA MISBAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060404

License Status

CANCELLED

Business

Title

First Name

SHAHEEN

Middle

FATIMA

Last Name

MISBAH

Business Name

SHAHEEN FATIMA MISBAH MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

ELGIN

State

Zip

60120

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/27/2011