AYAAZ ANEES HABIBULLAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071326

License Status

CANCELLED

Business

Title

First Name

AYAAZ

Middle

ANEES

Last Name

HABIBULLAH

Business Name

AYAAZ ANEES HABIBULLAH MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2017