DIALA ALATASSI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070628

License Status

CANCELLED

Business

Title

First Name

DIALA

Last Name

ALATASSI

Business Name

DIALA ALATASSI MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2017