MALEK SHUKRI HUSSEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060719

License Status

CANCELLED

Business

Title

First Name

MALEK

Middle

SHUKRI

Last Name

HUSSEIN

Business Name

MALEK SHUKRI HUSSEIN MD

Original Issue Date

09/14/2011

Effective Date

09/14/2011

Expiration Date

09/13/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/14/2011