TOMMY ADEL IBRAHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125907

License Status

NOT RENEWED

Business

First Name

TOMMY

Middle

ADEL

Last Name

IBRAHIM

Suffix

Business Name

TOMMY ADEL IBRAHIM MD

Original Issue Date

06/02/2010

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

WILDWOOD

State

Zip

63038

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021