SAMIR S MISSAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017720

License Status

EXPIRED

Business

First Name

SAMIR S

Last Name

MISSAK

Suffix

Business Name

SAMIR S MISSAK MD

Original Issue Date

12/11/1984

Effective Date

12/11/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006