IMAD A R IDRISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054817

License Status

NOT RENEWED

Business

First Name

IMAD A R

Last Name

IDRISS

Suffix

Business Name

IMAD A R IDRISS MD

Original Issue Date

06/30/1977

Effective Date

06/30/1977

Expiration Date

07/31/1987

City

LAS CRUCES

State

Zip

88001

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006