NINEF EDWARD ZAYA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044310

License Status

CANCELLED

Business

First Name

NINEF

Middle

EDWARD

Last Name

ZAYA

Business Name

NINEF EDWARD ZAYA

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

06/30/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006