SAM AWAN MD - Medical Doctor License in Illinois | # 125065976

SAM AWAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065976

License Status

EXPIRED

Business

N

First Name

SAM

Last Name

AWAN

Suffix

MD

Business Name

SAM AWAN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/04/2015