BASSEM MOHAMAD SROUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

BASSEM

Middle

MOHAMAD

Last Name

SROUR

Suffix

Business Name

BASSEM MOHAMAD SROUR MD

Original Issue Date

11/30/2007

Effective Date

02/28/2012

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014