FAYEZA MOHAMMED DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066254

License Status

CANCELLED

Business

Title

First Name

FAYEZA

Last Name

MOHAMMED

Business Name

FAYEZA MOHAMMED DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/30/2015