BRET TABACK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026189

License Status

EXPIRED

Business

First Name

BRET

Last Name

TABACK

Business Name

BRET TABACK

Original Issue Date

04/18/1991

Effective Date

04/18/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006