AHMAD SAMEH KHRAISAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105743

License Status

NOT RENEWED

Business

First Name

AHMAD

Middle

SAMEH

Last Name

KHRAISAT

Suffix

Business Name

AHMAD SAMEH KHRAISAT MD

Original Issue Date

10/22/2001

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017