FAUZIA QADIR WANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071945

License Status

CANCELLED

Business

Title

First Name

FAUZIA

Middle

QADIR

Last Name

WANI

Business Name

FAUZIA QADIR WANI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2018