KASEM MAHMOUD GHANNAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081037

License Status

EXPIRED

Business

Title

First Name

KASEM

Middle

MAHMOUD

Last Name

GHANNAM

Business Name

KASEM MAHMOUD GHANNAM DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025