NISA CEM OREN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069757

License Status

CANCELLED

Business

Title

First Name

NISA

Middle

CEM

Last Name

OREN

Business Name

NISA CEM OREN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Abdominal Radiology

Ever Disciplined

LastModifiedDate

01/02/2020