FOUZIA F EL DAIEF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

FOUZIA F

Last Name

EL DAIEF

Suffix

Business Name

FOUZIA F EL DAIEF MD

Original Issue Date

01/01/1997

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017