JINAN TARIK AL-PACHACHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108482

License Status

NOT RENEWED

Business

First Name

JINAN

Middle

TARIK

Last Name

AL-PACHACHI

Suffix

Business Name

JINAN TARIK AL-PACHACHI MD

Original Issue Date

01/24/2003

Effective Date

01/24/2003

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006