SUBUHI FATIMA HUMERA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062086

License Status

CANCELLED

Business

Title

First Name

SUBUHI

Middle

FATIMA

Last Name

HUMERA

Business Name

SUBUHI FATIMA HUMERA DO

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014