WARA AHSAN IMAM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077463

License Status

CANCELLED

Business

Title

First Name

WARA

Middle

AHSAN

Last Name

IMAM

Business Name

WARA AHSAN IMAM DO

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

08/02/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/02/2024