MARK NABIL FEKRY MASSOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143592

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

NABIL FEKRY

Last Name

MASSOUD

Business Name

MARK NABIL FEKRY MASSOUD MD

Original Issue Date

06/21/2017

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023