MEDHAT W TAKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074761

License Status

NOT RENEWED

Business

First Name

MEDHAT W

Last Name

TAKLA

Suffix

Business Name

MEDHAT W TAKLA MD

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

07/31/1996

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006