NIDAULLAH MIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065579

License Status

CANCELLED

Business

Title

First Name

NIDAULLAH

Last Name

MIAN

Business Name

NIDAULLAH MIAN MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

02/16/2017