JAMAL HORANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106869

License Status

INACTIVE

Business

First Name

JAMAL

Last Name

HORANI

Suffix

Business Name

JAMAL HORANI MD

Original Issue Date

05/03/2002

Effective Date

05/03/2002

Expiration Date

07/31/2005

City

SOUTH OGDEN

State

Zip

84403

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006