BAYAN M MOUSTAFA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069322

License Status

CANCELLED

Business

Title

First Name

BAYAN

Middle

Last Name

MOUSTAFA

Business Name

BAYAN M MOUSTAFA DO

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/08/2019