FOWZIA S GHOUSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032688

License Status

EXPIRED

Business

First Name

FOWZIA

Middle

Last Name

GHOUSE

Suffix

Business Name

FOWZIA S GHOUSE MD

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

06/18/1998

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006