SHAKIL ISMAIL HAFIZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062434

License Status

CANCELLED

Business

Title

First Name

SHAKIL

Middle

ISMAIL

Last Name

HAFIZ

Business Name

SHAKIL ISMAIL HAFIZ DO

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

07/10/2015

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Practice and OMT

Ever Disciplined

LastModifiedDate

03/24/2014