TAREK KUDAIMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

TAREK

Last Name

KUDAIMI

Suffix

Business Name

TAREK KUDAIMI MD

Original Issue Date

03/24/1997

Effective Date

03/24/1997

Expiration Date

07/31/2005

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006