HAISSAM KHOURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106028

License Status

NOT RENEWED

Business

First Name

HAISSAM

Last Name

KHOURI

Business Name

HAISSAM KHOURI

Original Issue Date

12/21/2001

Effective Date

12/21/2001

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006