BASSAM M MUTHANNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081059

License Status

ACTIVE

Business

Title

First Name

BASSAM

Middle

Last Name

MUTHANNA

Business Name

BASSAM M MUTHANNA MD

Original Issue Date

07/22/2023

Effective Date

07/22/2023

Expiration Date

07/21/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/22/2023