NIDA MAHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074633

License Status

EXPIRED

Business

Title

First Name

NIDA

Last Name

MAHAM

Business Name

NIDA MAHAM MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

11/19/2020