NADA ABDELLATIF FADUL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045361

License Status

EXPIRED

Business

First Name

NADA

Middle

ABDELLATIF

Last Name

FADUL

Suffix

Business Name

NADA ABDELLATIF FADUL MD

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

07/15/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006