MUNIRA SHABBIR RASIWALA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006113

License Status

NOT RENEWED

Business

First Name

MUNIRA

Middle

SHABBIR

Last Name

RASIWALA

Business Name

MUNIRA SHABBIR RASIWALA

Original Issue Date

01/30/2017

Effective Date

01/30/2017

Expiration Date

03/01/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018