FAIROUZ C CODINA MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339673

License Status

NOT RENEWED

Business

Title

First Name

FAIROUZ

Middle

Last Name

CODINA

Business Name

FAIROUZ C CODINA MD

Original Issue Date

04/05/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2010