BASHAR SAMIR SAMI AMR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060864

License Status

CANCELLED

Business

Title

First Name

BASHAR SAMIR

Middle

SAMI

Last Name

AMR

Business Name

BASHAR SAMIR SAMI AMR MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014