ISSAM DIAB MOUSSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

ISSAM

Middle

DIAB

Last Name

MOUSSA

Business Name

ISSAM DIAB MOUSSA MD

Original Issue Date

02/21/2014

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023