FAHAD KARIM MUSTAFA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058536

License Status

CANCELLED

Business

Title

First Name

FAHAD

Middle

KARIM

Last Name

MUSTAFA

Business Name

FAHAD KARIM MUSTAFA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

LAKE ZURICH

State

Zip

60047

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/20/2010