AZHAR I DALAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082066

License Status

EXPIRED

Business

Title

First Name

AZHAR

Middle

Last Name

DALAL

Business Name

AZHAR I DALAL MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024