TAREQ NABIH DARWISH BRAIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

TAREQ NABIH

Middle

DARWISH

Last Name

BRAIK

Suffix

Business Name

TAREQ NABIH DARWISH BRAIK MD

Original Issue Date

02/17/2010

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020