HENRY LAWRENCE ALEJO DUMBAB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053614

License Status

CANCELLED

Business

Title

First Name

HENRY LAWRENCE

Middle

ALEJO

Last Name

DUMBAB

Business Name

HENRY LAWRENCE ALEJO DUMBAB MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/24/2007