FADI ADIB MATAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000068

License Status

EXPIRED

Business

First Name

FADI

Middle

ADIB

Last Name

MATAR

Suffix

Business Name

FADI ADIB MATAR MD

Original Issue Date

09/02/1998

Effective Date

09/02/1998

Expiration Date

12/13/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/23/2006