MOHAMAD EL MOKHTAP A EL MORTADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116558

License Status

NOT RENEWED

Business

First Name

MOHAMAD

Middle

EL MOKHTAP A

Last Name

EL MORTADA

Suffix

Business Name

MOHAMAD EL MOKHTAP A EL MORTADA MD

Original Issue Date

07/20/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008