MATHEW FAKHOURY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069501

License Status

CANCELLED

Business

Title

First Name

MATHEW

Last Name

FAKHOURY

Business Name

MATHEW FAKHOURY DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

06/29/2017