SARAB ALFATA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052220

License Status

CANCELLED

Business

Title

First Name

SARAB

Last Name

ALFATA

Business Name

SARAB ALFATA MD

Original Issue Date

07/27/2007

Effective Date

07/27/2007

Expiration Date

07/26/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

07/27/2007