TALAL A MAKKAOUI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084004

License Status

NOT RENEWED

Business

First Name

TALAL A

Last Name

MAKKAOUI

Business Name

TALAL A MAKKAOUI

Original Issue Date

02/14/1992

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

W. SPRINGFIELD

State

Zip

01089

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/14/2011