SANDAL FAISAL ISHAQUE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068142

License Status

CANCELLED

Business

Title

First Name

SANDAL

Middle

FAISAL

Last Name

ISHAQUE

Business Name

SANDAL FAISAL ISHAQUE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

08/23/2019

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/13/2019