SHADWAN FAWZEE ALSAFWAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034941

License Status

EXPIRED

Business

First Name

SHADWAN

Middle

FAWZEE

Last Name

ALSAFWAH

Suffix

Business Name

SHADWAN FAWZEE ALSAFWAH MD

Original Issue Date

06/10/1996

Effective Date

06/10/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006