FADI ANNABA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104248

License Status

ACTIVE

Business

First Name

FADI

Last Name

ANNABA

Business Name

FADI ANNABA

Original Issue Date

02/21/2001

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/15/2023