BASSEL ERICSOUSSI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122054

License Status

ACTIVE

Business

Title

First Name

BASSEL

Last Name

ERICSOUSSI

Business Name

BASSEL ERICSOUSSI MD

Original Issue Date

10/09/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023