WAIL EDRIS ASFOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

WAIL

Middle

EDRIS

Last Name

ASFOUR

Suffix

Business Name

WAIL EDRIS ASFOUR MD

Original Issue Date

11/16/2000

Effective Date

10/10/2023

Expiration Date

07/31/2026

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2023