WAEL DAKKAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149395

License Status

NOT RENEWED

Business

Title

First Name

WAEL

Last Name

DAKKAK

Business Name

WAEL DAKKAK MD

Original Issue Date

05/21/2019

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023