SEIFELDIN EID MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075567

License Status

CANCELLED

Business

Title

First Name

SEIFELDIN

Last Name

EID

Business Name

SEIFELDIN EID MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/07/2020