OUSSAMA BOUNDAOUI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059103

License Status

EXPIRED

Business

First Name

OUSSAMA

Last Name

BOUNDAOUI

Suffix

Business Name

OUSSAMA BOUNDAOUI MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012