TAHA FAROUK MOHAMED AHMED MOUSSA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070604

License Status

EXPIRED

Business

Title

First Name

TAHA

Middle

FAROUK MOHAMED AHMED

Last Name

MOUSSA

Business Name

TAHA FAROUK MOHAMED AHMED MOUSSA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatric Rheumatology

Ever Disciplined

LastModifiedDate

11/19/2020