MUSTAFA YUSUF BROACHWALA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076506

License Status

EXPIRED

Business

Title

First Name

MUSTAFA

Middle

YUSUF

Last Name

BROACHWALA

Business Name

MUSTAFA YUSUF BROACHWALA DO

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2021

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022