ANTON JAMAL KHAROUFEH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072940

License Status

CANCELLED

Business

Title

First Name

ANTON

Middle

JAMAL

Last Name

KHAROUFEH

Business Name

ANTON JAMAL KHAROUFEH MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/01/2021