ARIF JIVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062576

License Status

CANCELLED

Business

First Name

ARIF

Last Name

JIVAN

Suffix

Business Name

ARIF JIVAN MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014