IBRAHAM MOHAMMAD ASSEIDAT - Medical Doctor License in Illinois | # 125053848

IBRAHAM MOHAMMAD ASSEIDAT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053848

License Status

EXPIRED

Business

N

First Name

IBRAHAM

Middle

MOHAMMAD

Last Name

ASSEIDAT

Business Name

IBRAHAM MOHAMMAD ASSEIDAT

Original Issue Date

07/26/2007

Effective Date

07/26/2007

Expiration Date

07/25/2008

State

IL

Specialty/Qualifier

Pediatric Ophthalmology

Ever Disciplined

N

LastModifiedDate

07/31/2008