HOUSAM AD-DEEN TAHBOUB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069947

License Status

EXPIRED

Business

Title

First Name

HOUSAM

Middle

AD-DEEN

Last Name

TAHBOUB

Business Name

HOUSAM AD-DEEN TAHBOUB MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020