FAWAZ T KASHLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141721

License Status

ACTIVE

Business

Title

First Name

FAWAZ

Middle

Last Name

KASHLAN

Business Name

FAWAZ T KASHLAN MD

Original Issue Date

09/19/2016

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Ever Disciplined

LastModifiedDate

07/07/2023