HOSSAM MOHAMMAD MAHMOUD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050661

License Status

CANCELLED

Business

First Name

HOSSAM

Middle

MOHAMMAD

Last Name

MAHMOUD

Suffix

Business Name

HOSSAM MOHAMMAD MAHMOUD MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006