FADY MOHAMMED MOUSA-IBRAHIM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073140

License Status

CANCELLED

Business

Title

First Name

FADY

Middle

MOHAMMED

Last Name

MOUSA-IBRAHIM

Business Name

FADY MOHAMMED MOUSA-IBRAHIM DO

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/28/2021