SUZAN M GHARAIBEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

SUZAN

Middle

Last Name

GHARAIBEH

Suffix

Business Name

SUZAN M GHARAIBEH MD

Original Issue Date

05/19/2005

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011