IFAT KAMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

IFAT

Last Name

KAMIN

Suffix

Business Name

IFAT KAMIN MD

Original Issue Date

01/18/2011

Effective Date

01/18/2011

Expiration Date

07/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011