SAMIR G ISHAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029110

License Status

EXPIRED

Business

First Name

SAMIR

Middle

Last Name

ISHAK

Business Name

SAMIR G ISHAK

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

09/16/1995

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006