FADI Y YACOUB Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029096

License Status

EXPIRED

Business

First Name

FADI

Middle

Last Name

YACOUB

Business Name

FADI Y YACOUB

Original Issue Date

08/05/1992

Effective Date

08/05/1992

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006