BAHJAT S CHABENNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046616

License Status

NOT RENEWED

Business

First Name

BAHJAT S

Last Name

CHABENNE

Suffix

Business Name

BAHJAT S CHABENNE MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46219

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006