NAVEEN KORAH ABRAHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056709

License Status

CANCELLED

Business

Title

First Name

NAVEEN

Middle

KORAH

Last Name

ABRAHAM

Business Name

NAVEEN KORAH ABRAHAM MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2009