SARA MAHMOUD MOUSA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

SARA

Middle

MAHMOUD

Last Name

MOUSA

Business Name

SARA MAHMOUD MOUSA DO

Original Issue Date

05/04/2023

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023