WAEL DAKKAK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

MD

WAEL

DAKKAK

WAEL DAKKAK MD

07/02/2019

06/23/2020

07/31/2023

SPRINGFIELD

IL

62794

SANGAMON

PRACTITIONER

II III IV V

N

11/30/2023