FAROUK S IDRISS MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005664

License Status

CANCELLED

Business

Business Name

FAROUK S IDRISS MD SC

Original Issue Date

09/05/1984

Effective Date

09/05/1984

Expiration Date

01/01/1992

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006