HANI ISSA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123203

License Status

INACTIVE

Business

First Name

HANI

Last Name

ISSA

Suffix

Business Name

HANI ISSA MD

Original Issue Date

04/17/2009

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/11/2017