RAJAIE GEORGE HAZBOUN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071316

License Status

EXPIRED

Business

Title

First Name

RAJAIE

Middle

GEORGE

Last Name

HAZBOUN

Business Name

RAJAIE GEORGE HAZBOUN MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020