NIDA SHADAI FAYZI HUSAIN DO - Medical Doctor License in Michigan | # 036151355

NIDA SHADAI FAYZI HUSAIN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151355

License Status

NOT RENEWED

Business

N

Title

DO

First Name

NIDA

Middle

SHADAI FAYZI

Last Name

HUSAIN

Business Name

NIDA SHADAI FAYZI HUSAIN DO

Original Issue Date

12/12/2019

Effective Date

01/26/2021

Expiration Date

07/31/2023

State

MI

Ever Disciplined

N

LastModifiedDate

11/30/2023