MEHBOOB S QASSAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MEHBOOB S

Last Name

QASSAM

Suffix

Business Name

MEHBOOB S QASSAM MD

Original Issue Date

07/17/1992

Effective Date

07/17/1992

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006