EMAD KAMEL BARSOUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136604

License Status

NOT RENEWED

Business

Title

First Name

EMAD

Middle

KAMEL

Last Name

BARSOUM

Business Name

EMAD KAMEL BARSOUM MD

Original Issue Date

10/03/2014

Effective Date

10/03/2014

Expiration Date

07/31/2017

City

GREENFIELD

State

Zip

53228

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017