BASEM AHMED ABDELFATTAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056323

License Status

CANCELLED

Business

Title

First Name

BASEM

Middle

AHMED

Last Name

ABDELFATTAH

Business Name

BASEM AHMED ABDELFATTAH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/30/2009