YACOUB L MASSUDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

YACOUB

Middle

Last Name

MASSUDA

Business Name

YACOUB L MASSUDA MD

Original Issue Date

02/10/2004

Effective Date

04/11/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014