MINA MEDHAT KEROLOS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076000

License Status

CANCELLED

Business

First Name

MINA

Middle

MEDHAT

Last Name

KEROLOS

Business Name

MINA MEDHAT KEROLOS

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/30/2020