VAN H ALI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066686

License Status

CANCELLED

Business

Title

First Name

VAN

Middle

Last Name

ALI

Business Name

VAN H ALI DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

09/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/29/2018