IRFAN FIRDAUS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097104

License Status

INACTIVE

Business

First Name

IRFAN

Last Name

FIRDAUS

Suffix

Business Name

IRFAN FIRDAUS DO

Original Issue Date

12/15/1997

Effective Date

12/15/1997

Expiration Date

07/31/1999

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/30/2016