MAHUM MIRZA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075884

License Status

CANCELLED

Business

Title

First Name

MAHUM

Last Name

MIRZA

Business Name

MAHUM MIRZA DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2020