MOR BEN BARAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058326

License Status

CANCELLED

Business

Title

First Name

MOR

Last Name

BEN BARAK

Business Name

MOR BEN BARAK MD

Original Issue Date

07/10/2012

Effective Date

07/10/2012

Expiration Date

07/09/2015

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014