DURESHAHWAR ALI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076326

License Status

CANCELLED

Business

Title

First Name

DURESHAHWAR

Last Name

ALI

Business Name

DURESHAHWAR ALI DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/01/2020