HISHAM S BASSIOUNY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

HISHAM

Middle

Last Name

BASSIOUNY

Business Name

HISHAM S BASSIOUNY

Original Issue Date

05/04/2020

Effective Date

05/04/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023