YACOUB L MASSUDA MD - Medical Doctor License in Indiana | # 036045869

YACOUB L MASSUDA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045869

License Status

NOT RENEWED

Business

N

Title

MD

First Name

YACOUB

Middle

L

Last Name

MASSUDA

Business Name

YACOUB L MASSUDA MD

Original Issue Date

07/31/1972

Effective Date

04/13/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014