FAISAL ABDELAZIZ IBRAHIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156017

License Status

ACTIVE

Business

Title

First Name

FAISAL

Middle

ABDELAZIZ

Last Name

IBRAHIM

Business Name

FAISAL ABDELAZIZ IBRAHIM MD

Original Issue Date

03/12/2021

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/06/2023