FADULELMOLA MOHAMED AHMED FADUL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066860

License Status

EXPIRED

Business

Title

First Name

FADULELMOLA

Middle

MOHAMED AHMED

Last Name

FADUL

Business Name

FADULELMOLA MOHAMED AHMED FADUL MD

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

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018