BASHAR ERICSOOSSI MD - Medical Doctor License in Illinois | # 036128159

BASHAR ERICSOOSSI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128159

License Status

NOT RENEWED

Business

N

First Name

BASHAR

Last Name

ERICSOOSSI

Suffix

MD

Business Name

BASHAR ERICSOOSSI MD

Original Issue Date

06/22/2011

Effective Date

05/27/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017