BASHAR M ALZEIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040149

License Status

EXPIRED

Business

First Name

BASHAR

Middle

Last Name

ALZEIN

Business Name

BASHAR M ALZEIN

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/30/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006