FAREED MOSES S COLLADO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055652

License Status

CANCELLED

Business

Title

First Name

FAREED

Middle

MOSES S

Last Name

COLLADO

Business Name

FAREED MOSES S COLLADO MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/03/2009