IBRAHAM MOHAMMAD ASSEIDAT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053848

License Status

EXPIRED

Business

First Name

IBRAHAM

Middle

MOHAMMAD

Last Name

ASSEIDAT

Business Name

IBRAHAM MOHAMMAD ASSEIDAT

Original Issue Date

07/26/2007

Effective Date

07/26/2007

Expiration Date

07/25/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Ophthalmology

Ever Disciplined

LastModifiedDate

07/31/2008