AMIRA BOULOS FANOUS-PAUL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113725

License Status

INACTIVE

Business

First Name

AMIRA

Middle

BOULOS

Last Name

FANOUS-PAUL

Suffix

Business Name

AMIRA BOULOS FANOUS-PAUL MD

Original Issue Date

05/19/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GREENVILLE

State

Zip

75402

Ever Disciplined

LastModifiedDate

01/09/2017