BASEL MOHAMMAD ALTOOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068058

License Status

CANCELLED

Business

Title

First Name

BASEL

Middle

MOHAMMAD

Last Name

ALTOOS

Business Name

BASEL MOHAMMAD ALTOOS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

03/19/2019