YASEEN B ADAM MD - Medical Doctor License in Illinois | # 125048810

YASEEN B ADAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048810

License Status

NOT RENEWED

Business

N

Title

MD

First Name

YASEEN

Middle

B

Last Name

ADAM

Business Name

YASEEN B ADAM MD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

09/09/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

11/03/2006