AHMAD GHASSAN KSAIBATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013729

License Status

EXPIRED

Business

First Name

AHMAD GHASSAN

Last Name

KSAIBATI

Suffix

Business Name

AHMAD GHASSAN KSAIBATI MD

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006