CAROL EVELYN FAID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

CAROL EVELYN

Last Name

FAID

Suffix

Business Name

CAROL EVELYN FAID MD

Original Issue Date

05/29/1996

Effective Date

05/29/1996

Expiration Date

07/31/1999

City

METROPOLIS

State

Zip

62760

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006