ANDREA T KASSIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057163

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

KASSIM

Suffix

Business Name

ANDREA T KASSIM MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

08/29/2012