HANI S GHAWI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125433

License Status

NOT RENEWED

Business

First Name

HANI

Middle

Last Name

GHAWI

Suffix

Business Name

HANI S GHAWI MD

Original Issue Date

04/07/2010

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023