FARES JAQUES KHATER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037238

License Status

CANCELLED

Business

First Name

FARES JAQUES

Last Name

KHATER

Business Name

FARES JAQUES KHATER

Original Issue Date

01/01/1997

Effective Date

01/01/1997

Expiration Date

10/07/2000

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006