HUSSEIN D FODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

HUSSEIN D

Last Name

FODA

Suffix

Business Name

HUSSEIN D FODA MD

Original Issue Date

10/05/1987

Effective Date

10/05/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006