SARA TASNEEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

SARA

Last Name

TASNEEM

Business Name

SARA TASNEEM MD

Original Issue Date

03/29/2017

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021