License Information

The holder whose full name is HADDAD, HOUSAM IBRAHIM,come from LIBERTY KY,hold the Physician license(NO.01042773A) which status is Expired Non-Renewable.

NameHADDAD, HOUSAM IBRAHIM
License Number01042773A
License TypePhysician
License StatusExpired Non-Renewable
CityLIBERTY
StateKY

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