SAMUEL WAFAA GUIRGUIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055968

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

WAFAA

Last Name

GUIRGUIS

Business Name

SAMUEL WAFAA GUIRGUIS DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/30/2009