FARAH GHOUS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068786

License Status

CANCELLED

Business

Title

First Name

FARAH

Last Name

GHOUS

Business Name

FARAH GHOUS DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

08/18/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

06/07/2019