MASOOD MOHIUDDIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000062

License Status

NOT RENEWED

Business

First Name

MASOOD

Last Name

MOHIUDDIN

Business Name

MASOOD MOHIUDDIN

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1980

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006