TAHIR YAQUB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048831

License Status

NOT RENEWED

Business

First Name

TAHIR

Last Name

YAQUB

Suffix

Business Name

TAHIR YAQUB MD

Original Issue Date

10/28/2004

Effective Date

10/28/2004

Expiration Date

10/27/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2006