FADY MOHAMMED MOUSA-IBRAHIM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159688

License Status

ACTIVE

Business

Title

First Name

FADY

Middle

MOHAMMED

Last Name

MOUSA-IBRAHIM

Business Name

FADY MOHAMMED MOUSA-IBRAHIM DO

Original Issue Date

03/05/2022

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2023