SUMRA AHMED TAYEBALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146882

License Status

NOT RENEWED

Business

Title

First Name

SUMRA

Middle

AHMED

Last Name

TAYEBALY

Business Name

SUMRA AHMED TAYEBALY MD

Original Issue Date

07/11/2018

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023