HUSAM H SUKEREK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033901

License Status

EXPIRED

Business

First Name

HUSAM

Middle

Last Name

SUKEREK

Business Name

HUSAM H SUKEREK

Original Issue Date

08/18/1995

Effective Date

08/18/1995

Expiration Date

08/16/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006