SANDRA JEAN KHOURY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

JEAN

Last Name

KHOURY

Business Name

SANDRA JEAN KHOURY

Original Issue Date

01/28/2000

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021