MAHER W FATTOUH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

MD

MAHER

W

FATTOUH

MAHER W FATTOUH MD

01/29/2001

02/25/2015

07/31/2017

MIDDLETON

WI

53562

WISCONSIN

II III IV V

N

04/05/2020