IDIA AREBANMHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073881

License Status

CANCELLED

Business

Title

First Name

IDIA

Last Name

AREBANMHEN

Business Name

IDIA AREBANMHEN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

09/11/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/11/2019