WAEL EID MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100773

License Status

INACTIVE

Business

First Name

WAEL

Last Name

EID

Suffix

Business Name

WAEL EID MD

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006