ISSAM KHAYATA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037096

License Status

EXPIRED

Business

First Name

ISSAM

Last Name

KHAYATA

Suffix

Business Name

ISSAM KHAYATA MD

Original Issue Date

07/10/1997

Effective Date

07/10/1997

Expiration Date

07/09/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006