OSSAMA FOUAD ABDELLATIF MD Medical Doctor License verification

OSSAMA FOUAD ABDELLATIF MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

OSSAMA

Middle

FOUAD

Last Name

ABDELLATIF

Suffix

Business Name

OSSAMA FOUAD ABDELLATIF MD

Original Issue Date

03/15/2004

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2015009022

Action

Temporary Suspension

Discipline Start Date

04/26/2019

Discipline End Date

11/21/2019

Discipline Reason

due to mental and physical impairment.