YASEEN B ADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048810

License Status

NOT RENEWED

Business

Title

First Name

YASEEN

Middle

Last Name

ADAM

Business Name

YASEEN B ADAM MD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

09/09/2006

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006