SAMIR FARES ABDO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

SAMIR FARES

Last Name

ABDO

Business Name

SAMIR FARES ABDO

Original Issue Date

12/11/1981

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021