Issam Diab Moussa
Medical - Physician And Surgeon
Minnesota 54730 Inactive
This Minnesota license was held by Issam Diab Moussa. The license is no longer active. It was granted on 11/12/2011 and expired on 08/31/2014
LICENSE DETAILS
- License Number: 54730
- Category: Physician and Surgeon
- Status: Inactive
- Date Granted: 11/12/2011 (over 12 years ago)
- Expiry Date: 08/31/2014 (almost 10 years ago)
LOCATIONS
A Licensure Designated Address
531 Le Master Drive, Ponte Vedra Beach, FL 32082