SHUROUK I ISMAIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121559

License Status

NOT RENEWED

Business

First Name

SHUROUK

Middle

Last Name

ISMAIL

Business Name

SHUROUK I ISMAIL

Original Issue Date

07/25/2008

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017