FAZIL KIDEYS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038759

License Status

NOT RENEWED

Business

First Name

FAZIL

Last Name

KIDEYS

Suffix

Business Name

FAZIL KIDEYS MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006