ASIF IMAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057954

License Status

NOT RENEWED

Business

First Name

ASIF

Last Name

IMAM

Suffix

Business Name

ASIF IMAM MD

Original Issue Date

10/23/1978

Effective Date

10/23/1978

City

BALTIMORE

State

Zip

21207

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006