IMAD QAYYUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060556

License Status

EXPIRED

Business

Title

First Name

IMAD

Last Name

QAYYUM

Business Name

IMAD QAYYUM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016