MUSTAFA HASSANALI FIDAHUSSEIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045511

License Status

EXPIRED

Business

First Name

MUSTAFA

Middle

HASSANALI

Last Name

FIDAHUSSEIN

Suffix

Business Name

MUSTAFA HASSANALI FIDAHUSSEIN MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006