MAISARA KOBAISY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133132

License Status

NOT RENEWED

Business

Title

First Name

MAISARA

Last Name

KOBAISY

Business Name

MAISARA KOBAISY MD

Original Issue Date

06/03/2013

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017