MOHAMMED RAASIQ UL IMAN GANDAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076585

License Status

CANCELLED

Business

Title

First Name

MOHAMMED

Middle

RAASIQ UL IMAN

Last Name

GANDAM

Business Name

MOHAMMED RAASIQ UL IMAN GANDAM MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2020