MOHAMED MOATEZ BAYOUMI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063031

License Status

CANCELLED

Business

Title

First Name

MOHAMED

Middle

MOATEZ

Last Name

BAYOUMI

Business Name

MOHAMED MOATEZ BAYOUMI MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014