BASSAM MUSHANNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

BASSAM

Last Name

MUSHANNEN

Suffix

Business Name

BASSAM MUSHANNEN MD

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006