SAMUEL MAGHIDMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043516

License Status

CANCELLED

Business

First Name

SAMUEL

Last Name

MAGHIDMAN

Suffix

Business Name

SAMUEL MAGHIDMAN MD

Original Issue Date

06/26/2001

Effective Date

06/26/2001

Expiration Date

06/25/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006