SOUHEIL A MOUSSALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089833

License Status

NOT RENEWED

Business

First Name

SOUHEIL A

Last Name

MOUSSALLI

Suffix

Business Name

SOUHEIL A MOUSSALLI MD

Original Issue Date

10/18/1994

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017