MOHAMAD EL MOKHTAP A EL MORTADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047172

License Status

EXPIRED

Business

First Name

MOHAMAD

Middle

EL MOKHTAP A

Last Name

EL MORTADA

Suffix

Business Name

MOHAMAD EL MOKHTAP A EL MORTADA MD

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

06/22/2007

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007