ISSAM KHAYATA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099737

License Status

INACTIVE

Business

First Name

ISSAM

Last Name

KHAYATA

Suffix

Business Name

ISSAM KHAYATA MD

Original Issue Date

03/02/1999

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

SHREWSBURY

State

Zip

01545

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/23/2015