BISMAH BINT IRFAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062109

License Status

NOT RENEWED

Business

Title

First Name

BISMAH

Middle

BINT

Last Name

IRFAN

Business Name

BISMAH BINT IRFAN MD

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

09/11/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016