ABDUL AHAD TAUFIQ BAGASARAWALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074212

License Status

CANCELLED

Business

Title

First Name

ABDUL AHAD

Middle

TAUFIQ

Last Name

BAGASARAWALA

Business Name

ABDUL AHAD TAUFIQ BAGASARAWALA MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/06/2019