MIRIAM ROSE BEN ABDALLAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071129

License Status

CANCELLED

Business

Title

First Name

MIRIAM

Middle

ROSE

Last Name

BEN ABDALLAH

Business Name

MIRIAM ROSE BEN ABDALLAH MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/03/2017