BASHAR ERICSOOSSI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053944

License Status

CANCELLED

Business

First Name

BASHAR

Last Name

ERICSOOSSI

Suffix

Business Name

BASHAR ERICSOOSSI MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/15/2008