SHADY SAMY GEORGY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068547

License Status

CANCELLED

Business

Title

First Name

SHADY

Middle

SAMY

Last Name

GEORGY

Business Name

SHADY SAMY GEORGY MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/19/2016