FARIS A KHASAWNEH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047600

License Status

EXPIRED

Business

First Name

FARIS

Middle

Last Name

KHASAWNEH

Suffix

Business Name

FARIS A KHASAWNEH MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007