ALI TAHA HAMOUDI HAMOUDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071172

License Status

CANCELLED

Business

Title

First Name

ALI

Middle

TAHA HAMOUDI

Last Name

HAMOUDI

Business Name

ALI TAHA HAMOUDI HAMOUDI MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2017