REDOUANE BOUMENDJEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051840

License Status

CANCELLED

Business

First Name

REDOUANE

Last Name

BOUMENDJEL

Suffix

Business Name

REDOUANE BOUMENDJEL MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006