SAM AMIR MIKHAIL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134282

License Status

NOT RENEWED

Business

Title

First Name

SAM

Middle

AMIR

Last Name

MIKHAIL

Business Name

SAM AMIR MIKHAIL DO

Original Issue Date

12/06/2013

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017