HOSSAM MOHAMMAD MAHMOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

HOSSAM

Middle

MOHAMMAD

Last Name

MAHMOUD

Suffix

Business Name

HOSSAM MOHAMMAD MAHMOUD MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020