TARA AFSAR ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066993

License Status

CANCELLED

Business

Title

First Name

TARA

Middle

AFSAR

Last Name

ALI

Business Name

TARA AFSAR ALI MD

Original Issue Date

11/26/2018

Effective Date

11/26/2018

Expiration Date

11/25/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/16/2018