USAMA BASIM QUMSIEH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053463

License Status

EXPIRED

Business

Title

First Name

USAMA

Middle

BASIM

Last Name

QUMSIEH

Business Name

USAMA BASIM QUMSIEH MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009