BASSAM MOUSHMOUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073646

License Status

NOT RENEWED

Business

First Name

BASSAM

Last Name

MOUSHMOUSH

Suffix

Business Name

BASSAM MOUSHMOUSH MD

Original Issue Date

08/26/1986

Effective Date

08/26/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006