ASMA MOHAMED IBRAHIM MATOUGELWERFELLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080802

License Status

CANCELLED

Business

Title

First Name

ASMA

Middle

MOHAMED IBRAHIM

Last Name

MATOUGELWERFELLI

Business Name

ASMA MOHAMED IBRAHIM MATOUGELWERFELLI MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/04/2022