NISHAT FATIMA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064584

License Status

CANCELLED

Business

First Name

NISHAT

Last Name

FATIMA

Business Name

NISHAT FATIMA

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CARTERVILLE

State

Zip

62918

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/06/2017