FADI N BASHOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089180

License Status

NOT RENEWED

Business

First Name

FADI N

Last Name

BASHOUR

Suffix

Business Name

FADI N BASHOUR MD

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

07/31/1999

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

09/20/2006