HUSSEIN D FODA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075127

License Status

INACTIVE

Business

First Name

HUSSEIN D

Last Name

FODA

Suffix

Business Name

HUSSEIN D FODA MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/31/2002

City

STONY BROOK

State

Zip

11790

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006