GHAZWAN HIKMAT SHAAYA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071437

License Status

CANCELLED

Business

Title

First Name

GHAZWAN

Middle

HIKMAT

Last Name

SHAAYA

Business Name

GHAZWAN HIKMAT SHAAYA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/22/2017