HOUSAM MOURSI DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****83

NOT RENEWED

N

HOUSAM

MOURSI

DO

HOUSAM MOURSI DO

07/26/1994

07/26/1994

07/31/1999

CHICAGO

IL

60615

COOK

II III IV V

N

10/09/2006