MUFADDAL MUSTAFA GOMBERA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133154

License Status

NOT RENEWED

Business

First Name

MUFADDAL

Middle

MUSTAFA

Last Name

GOMBERA

Business Name

MUFADDAL MUSTAFA GOMBERA

Original Issue Date

06/04/2013

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017