ANAS ENTABI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112207

License Status

NOT RENEWED

Business

First Name

ANAS

Last Name

ENTABI

Suffix

Business Name

ANAS ENTABI MD

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006