TAREK KUDAIMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095104

License Status

NOT RENEWED

Business

First Name

TAREK

Last Name

KUDAIMI

Suffix

Business Name

TAREK KUDAIMI MD

Original Issue Date

03/20/1997

Effective Date

03/20/1997

Expiration Date

07/31/2005

City

MUNSTER

State

Zip

46321

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006