NOHA R BARSOUM - Medical Doctor License in Illinois | # 125036949

NOHA R BARSOUM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036949

License Status

EXPIRED

Business

N

First Name

NOHA

Middle

R

Last Name

BARSOUM

Business Name

NOHA R BARSOUM

Original Issue Date

06/25/1997

Effective Date

06/25/1997

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006