TALAL MUSTAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042823

License Status

NOT RENEWED

Business

First Name

TALAL

Last Name

MUSTAFA

Suffix

Business Name

TALAL MUSTAFA MD

Original Issue Date

08/08/1969

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014