FOUZIA F EL DAIEF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053414

License Status

NOT RENEWED

Business

First Name

FOUZIA F

Last Name

EL DAIEF

Suffix

Business Name

FOUZIA F EL DAIEF MD

Original Issue Date

08/25/1976

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/01/2017