NELLY YACOUB KAZZAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122241

License Status

NOT RENEWED

Business

Title

First Name

NELLY

Middle

YACOUB

Last Name

KAZZAZ

Business Name

NELLY YACOUB KAZZAZ MD

Original Issue Date

11/21/2008

Effective Date

11/21/2008

Expiration Date

07/31/2011

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

11/14/2011