HUSAM FARIS GHUSN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169067

License Status

ACTIVE

Business

Title

First Name

HUSAM

Middle

FARIS

Last Name

GHUSN

Business Name

HUSAM FARIS GHUSN MD

Original Issue Date

03/01/2024

Effective Date

03/01/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

12/23/2024