ACCAMMA GENI ABRAHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093556

License Status

INACTIVE

Business

First Name

ACCAMMA GENI

Last Name

ABRAHAM

Suffix

Business Name

ACCAMMA GENI ABRAHAM MD

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/31/1999

City

LAWTON

State

Zip

73505

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006