LAURA ADEL SAMY RAHEB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072850

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

ADEL SAMY

Last Name

RAHEB

Business Name

LAURA ADEL SAMY RAHEB MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/05/2018