REDOUANE BOUMENDJEL MD - Medical Doctor License in Illinois | # 125051840

REDOUANE BOUMENDJEL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051840

License Status

CANCELLED

Business

N

First Name

REDOUANE

Last Name

BOUMENDJEL

Suffix

MD

Business Name

REDOUANE BOUMENDJEL MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006