JASSER KHAIRALLAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072640

License Status

CANCELLED

Business

Title

First Name

JASSER

Last Name

KHAIRALLAH

Business Name

JASSER KHAIRALLAH DO

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

INDIANAPOLIS

State

Zip

46226

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/19/2018