AGHA BABA BABANOURY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041506

License Status

INACTIVE

Business

First Name

AGHA

Middle

BABA

Last Name

BABANOURY

Suffix

Business Name

AGHA BABA BABANOURY MD

Original Issue Date

11/17/1967

Effective Date

11/17/1967

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/09/2006