AZHAR M KOTHAWALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060457

License Status

CANCELLED

Business

Title

First Name

AZHAR

Middle

Last Name

KOTHAWALA

Business Name

AZHAR M KOTHAWALA MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/23/2011