ISMAIL MIKDAT KABAKUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069748

License Status

CANCELLED

Business

Title

First Name

ISMAIL

Middle

MIKDAT

Last Name

KABAKUS

Business Name

ISMAIL MIKDAT KABAKUS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Abdominal Radiology

Ever Disciplined

LastModifiedDate

01/31/2017