Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

MD

BASIL

EID

JARADAH

BASIL EID JARADAH MD

04/02/2013

07/11/2014

07/31/2017

COLUMBUS

OH

43235

WINNEBAGO

PRACTITIONER

II III IV V

N

11/01/2017