TAREQ NABIH DARWISH BRAIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052147

License Status

CANCELLED

Business

First Name

TAREQ NABIH

Middle

DARWISH

Last Name

BRAIK

Suffix

Business Name

TAREQ NABIH DARWISH BRAIK MD

Original Issue Date

07/17/2006

Effective Date

07/17/2006

Expiration Date

07/16/2009

City

VALPARAISO

State

Zip

46385

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006