BUTHEINAH A AL-SHARAFI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

BUTHEINAH

Middle

Last Name

AL-SHARAFI

Suffix

Business Name

BUTHEINAH A AL-SHARAFI MD

Original Issue Date

06/20/2002

Effective Date

06/20/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020