NICOLA FARIS AZAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053336

License Status

CANCELLED

Business

First Name

NICOLA

Middle

FARIS

Last Name

AZAR

Suffix

Business Name

NICOLA FARIS AZAR MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2007