LENA KHALED ALIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068893

License Status

CANCELLED

Business

Title

First Name

LENA

Middle

KHALED

Last Name

ALIA

Business Name

LENA KHALED ALIA MD

Original Issue Date

06/15/2016

Effective Date

06/15/2016

Expiration Date

06/14/2019

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/03/2016