HUSSAM SEIF EDDEINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

HUSSAM

Last Name

SEIF EDDEINE

Suffix

Business Name

HUSSAM SEIF EDDEINE MD

Original Issue Date

03/05/2009

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

PHOENIX

State

Zip

85032

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014