OSSAMA FOUAD ABDELLATIF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

OSSAMA

Middle

FOUAD

Last Name

ABDELLATIF

Suffix

Business Name

OSSAMA FOUAD ABDELLATIF MD

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017