INSIYAH AAMIR GOMBERAWALLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064759

License Status

CANCELLED

Business

Title

First Name

INSIYAH

Middle

AAMIR

Last Name

GOMBERAWALLA

Business Name

INSIYAH AAMIR GOMBERAWALLA MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/27/2014