TAREQ NABIH DARWISH BRAIK MD - Medical Doctor License in Indiana | # 125052147

TAREQ NABIH DARWISH BRAIK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052147

License Status

CANCELLED

Business

N

First Name

TAREQ NABIH

Middle

DARWISH

Last Name

BRAIK

Suffix

MD

Business Name

TAREQ NABIH DARWISH BRAIK MD

Original Issue Date

07/17/2006

Effective Date

07/17/2006

Expiration Date

07/16/2009

State

IN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006