License holder summary

Issam Diab Moussa is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Issam Diab Moussa is 531 Le Master Drive, Ponte Vedra Beach, FL 32082. This doctor license is not current. The license was granted 11/12/2011 and expired on 08/31/2014.

Department of Safety and Professional Services

Board of Medical Practice

Issam Diab Moussa
Medical - Physician And Surgeon
License number
54730
Date granted
11/12/2011
Date expires
08/31/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
531 Le Master Drive, Ponte Vedra Beach, FL 32082
doctorsminnesota.org
ID 22264535
LAST UPDATED 2024-02-29 10:37:55 UTC

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