DAVID ADEL IBRAHIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065414

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

ADEL

Last Name

IBRAHIM

Business Name

DAVID ADEL IBRAHIM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/12/2014