BASEM HADDAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109157

License Status

NOT RENEWED

Business

First Name

BASEM

Last Name

HADDAD

Suffix

Business Name

BASEM HADDAD MD

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

07/31/2005

City

WESTLAKE

State

Zip

44145

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006