ASHIF KHALED MOLLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076217

License Status

CANCELLED

Business

Title

First Name

ASHIF

Middle

KHALED

Last Name

MOLLA

Business Name

ASHIF KHALED MOLLA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2020