FANAN MUSTAFA FALOUJI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033791

License Status

EXPIRED

Business

First Name

FANAN MUSTAFA

Last Name

FALOUJI

Suffix

Business Name

FANAN MUSTAFA FALOUJI MD

Original Issue Date

07/13/1995

Effective Date

07/13/1995

Expiration Date

07/12/1998

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006