MIRCEA TUDOREL IACOB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042352

License Status

CANCELLED

Business

First Name

MIRCEA

Middle

TUDOREL

Last Name

IACOB

Suffix

Business Name

MIRCEA TUDOREL IACOB MD

Original Issue Date

04/27/2001

Effective Date

04/27/2001

Expiration Date

06/19/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006