YACOUB L MASSUDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045869

License Status

NOT RENEWED

Business

Title

First Name

YACOUB

Middle

Last Name

MASSUDA

Business Name

YACOUB L MASSUDA MD

Original Issue Date

07/31/1972

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014