MAISARA KOBAISY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058930

License Status

CANCELLED

Business

Title

First Name

MAISARA

Last Name

KOBAISY

Business Name

MAISARA KOBAISY MD

Original Issue Date

09/30/2010

Effective Date

09/30/2010

Expiration Date

09/29/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2011