BASEM AHMED ABDELFATTAH MD - Medical Doctor License in Illinois | # 036129077

BASEM AHMED ABDELFATTAH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129077

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BASEM

Middle

AHMED

Last Name

ABDELFATTAH

Business Name

BASEM AHMED ABDELFATTAH MD

Original Issue Date

10/12/2011

Effective Date

10/12/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014