NIDAL ALKAFARNA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

NIDAL

Last Name

ALKAFARNA

Business Name

NIDAL ALKAFARNA

Original Issue Date

07/28/2015

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018