KAMAL RAGHEB DEMETRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

KAMAL RAGHEB

Last Name

DEMETRY

Suffix

Business Name

KAMAL RAGHEB DEMETRY MD

Original Issue Date

10/15/1996

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014