MASSOUD NOURBASH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040786

License Status

INACTIVE

Business

First Name

MASSOUD

Last Name

NOURBASH

Suffix

Business Name

MASSOUD NOURBASH MD

Original Issue Date

11/28/1966

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017