GEORGE MOUSA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077258

License Status

CANCELLED

Business

Title

First Name

GEORGE

Last Name

MOUSA

Business Name

GEORGE MOUSA MD

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

09/13/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/03/2020