FAROOQ M MIRZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070775

License Status

EXPIRED

Business

Title

First Name

FAROOQ

Middle

Last Name

MIRZA

Business Name

FAROOQ M MIRZA MD

Original Issue Date

02/01/2019

Effective Date

02/01/2019

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Congenital Cardiac Surgery

Ever Disciplined

LastModifiedDate

07/18/2019