SUMMER AZMAT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074908

License Status

CANCELLED

Business

Title

First Name

SUMMER

Last Name

AZMAT

Business Name

SUMMER AZMAT MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2019