ISLAM KHALED HUSSEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076912

License Status

CANCELLED

Business

Title

First Name

ISLAM

Middle

KHALED

Last Name

HUSSEIN

Business Name

ISLAM KHALED HUSSEIN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/20/2020