MICHAEL ALEXANDER FAYAD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076514

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ALEXANDER

Last Name

FAYAD

Business Name

MICHAEL ALEXANDER FAYAD DO

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2020