HEIDI G MOAWAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096780

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

MOAWAD

Business Name

HEIDI G MOAWAD

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/2002

City

BENTLEYVILLE

State

Zip

44022

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006