ZARA FATIMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066590

License Status

EXPIRED

Business

Title

First Name

ZARA

Last Name

FATIMA

Business Name

ZARA FATIMA MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/02/2019