IMTIAZ ISMAIL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064102

License Status

CANCELLED

Business

Title

First Name

IMTIAZ

Last Name

ISMAIL

Business Name

IMTIAZ ISMAIL MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2015