ANAS MOUCHLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120580

License Status

NOT RENEWED

Business

First Name

ANAS

Last Name

MOUCHLI

Suffix

Business Name

ANAS MOUCHLI MD

Original Issue Date

04/15/2008

Effective Date

04/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011