MARIAM TARIQ MIR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071163

License Status

CANCELLED

Business

Title

First Name

MARIAM

Middle

TARIQ

Last Name

MIR

Business Name

MARIAM TARIQ MIR MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2017