OUSSAMA BOUNDAOUI MD - Medical Doctor License in Illinois | # 125059103

OUSSAMA BOUNDAOUI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059103

License Status

EXPIRED

Business

N

First Name

OUSSAMA

Last Name

BOUNDAOUI

Suffix

MD

Business Name

OUSSAMA BOUNDAOUI MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012