GEORGE SOUSANIEH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065808

License Status

CANCELLED

Business

First Name

GEORGE

Last Name

SOUSANIEH

Suffix

Business Name

GEORGE SOUSANIEH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2014