BASEM AHMED ABDELFATTAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129077

License Status

NOT RENEWED

Business

Title

First Name

BASEM

Middle

AHMED

Last Name

ABDELFATTAH

Business Name

BASEM AHMED ABDELFATTAH MD

Original Issue Date

10/12/2011

Effective Date

10/12/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014