HOUSAM EDEN SOUKIEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101288

License Status

NOT RENEWED

Business

First Name

HOUSAM

Middle

EDEN

Last Name

SOUKIEH

Suffix

Business Name

HOUSAM EDEN SOUKIEH MD

Original Issue Date

09/16/1999

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021