FATIMAH MOHAMMED A AL MADAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073329

License Status

CANCELLED

Business

First Name

FATIMAH

Middle

MOHAMMED A

Last Name

AL MADAN

Business Name

FATIMAH MOHAMMED A AL MADAN

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/10/2018