GHOUSE MOHIUDDIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053155

License Status

CANCELLED

Business

Title

First Name

GHOUSE

Last Name

MOHIUDDIN

Business Name

GHOUSE MOHIUDDIN DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/29/2007