FADI S BASHOUR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088715

License Status

INACTIVE

Business

First Name

FADI S

Last Name

BASHOUR

Suffix

Business Name

FADI S BASHOUR MD

Original Issue Date

06/29/1994

Effective Date

06/29/1994

Expiration Date

07/31/1996

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

09/20/2006