FATEN KASSEM ABU GHAZAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064285

License Status

EXPIRED

Business

First Name

FATEN

Middle

KASSEM

Last Name

ABU GHAZAL

Suffix

Business Name

FATEN KASSEM ABU GHAZAL MD

Original Issue Date

09/01/2013

Effective Date

09/01/2013

Expiration Date

08/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

03/13/2015