OUSAMA DALLAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095820

License Status

ACTIVE

Business

First Name

OUSAMA

Last Name

DALLAL

Suffix

Business Name

OUSAMA DALLAL MD

Original Issue Date

07/01/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023