SAFWAT W WAHBA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071123

License Status

NOT RENEWED

Business

First Name

SAFWAT W

Last Name

WAHBA

Suffix

Business Name

SAFWAT W WAHBA MD

Original Issue Date

07/11/1985

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017