FADY MOHAMMED MOUSA-IBRAHIM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

FADY

Middle

MOHAMMED

Last Name

MOUSA-IBRAHIM

Business Name

FADY MOHAMMED MOUSA-IBRAHIM DO

Original Issue Date

03/15/2024

Effective Date

03/15/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2024