ZIAD FARES ISSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113517

License Status

ACTIVE

Business

First Name

ZIAD

Middle

FARES

Last Name

ISSA

Suffix

Business Name

ZIAD FARES ISSA MD

Original Issue Date

04/21/2005

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2023