IBRAHIM M ELFAHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002957

License Status

NOT RENEWED

Business

First Name

IBRAHIM M

Last Name

ELFAHAM

Business Name

IBRAHIM M ELFAHAM

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

09/30/1992

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2005