AHMAD GHASSAN KSAIBATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

AHMAD GHASSAN

Last Name

KSAIBATI

Suffix

Business Name

AHMAD GHASSAN KSAIBATI MD

Original Issue Date

01/07/1983

Effective Date

01/07/1983

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006