TARIQ MANSOOR ALAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

TARIQ

Middle

MANSOOR

Last Name

ALAM

Business Name

TARIQ MANSOOR ALAM MD

Original Issue Date

04/22/2013

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/01/2017