Mouhammad Bassel Ericsoussi

Temporary Medical Doctor Permit

Indiana  99046672A   Superceded

This Indiana license was held by Mouhammad Bassel Ericsoussi. The license is no longer active. It was granted on 04/19/2011 and expired on 07/19/2011

LICENSE DETAILS

  • License Number: 99046672A
  • Category: Temporary MD Permit
  • Status: Superceded
  • Date Granted: 04/19/2011 (about 14 years ago)
  • Expiry Date: 07/19/2011 (almost 14 years ago)

LOCATIONS

A Address

Hammond IN 46320