NIDA SHADAI FAYZI HUSAIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151355

License Status

NOT RENEWED

Business

Title

First Name

NIDA

Middle

SHADAI FAYZI

Last Name

HUSAIN

Business Name

NIDA SHADAI FAYZI HUSAIN DO

Original Issue Date

12/12/2019

Effective Date

01/26/2021

Expiration Date

07/31/2023

City

CANTON

State

Zip

48188

County

WAYNE

Ever Disciplined

LastModifiedDate

11/30/2023