MAYMAN M BAKLEH - Medical Doctor License in Illinois | # 125027402

MAYMAN M BAKLEH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027402

License Status

EXPIRED

Business

N

First Name

MAYMAN

Middle

M

Last Name

BAKLEH

Business Name

MAYMAN M BAKLEH

Original Issue Date

07/12/1991

Effective Date

07/12/1991

Expiration Date

07/10/1993

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006