BASHAR ERICSOOSSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128159

License Status

NOT RENEWED

Business

First Name

BASHAR

Last Name

ERICSOOSSI

Suffix

Business Name

BASHAR ERICSOOSSI MD

Original Issue Date

06/22/2011

Effective Date

05/27/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017