MENA SAMWEL ISNASSUOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145069

License Status

NOT RENEWED

Business

Title

First Name

MENA

Middle

SAMWEL

Last Name

ISNASSUOS

Business Name

MENA SAMWEL ISNASSUOS MD

Original Issue Date

02/08/2018

Effective Date

02/08/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021