SEBASTIEN SIMON KAIROUZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

SEBASTIEN

Middle

SIMON

Last Name

KAIROUZ

Suffix

Business Name

SEBASTIEN SIMON KAIROUZ MD

Original Issue Date

09/07/2011

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023