MAYMAN M BAKLEH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027402

License Status

EXPIRED

Business

First Name

MAYMAN

Middle

Last Name

BAKLEH

Business Name

MAYMAN M BAKLEH

Original Issue Date

07/12/1991

Effective Date

07/12/1991

Expiration Date

07/10/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006