ANNIS MOHAMED BUSHAALA ALI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067886

License Status

EXPIRED

Business

Title

First Name

ANNIS

Middle

MOHAMED BUSHAALA

Last Name

ALI

Business Name

ANNIS MOHAMED BUSHAALA ALI MD

Original Issue Date

07/02/2015

Effective Date

07/02/2015

Expiration Date

07/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016