UMMARA RAFAT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075022

License Status

CANCELLED

Business

Title

First Name

UMMARA

Last Name

RAFAT

Business Name

UMMARA RAFAT MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2019