FAISAL ABDELAZIZ IBRAHIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071382

License Status

CANCELLED

Business

Title

First Name

FAISAL

Middle

ABDELAZIZ

Last Name

IBRAHIM

Business Name

FAISAL ABDELAZIZ IBRAHIM MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/04/2020