HABIB DAKKAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053970

License Status

CANCELLED

Business

First Name

HABIB

Last Name

DAKKAK

Suffix

Business Name

HABIB DAKKAK MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

ROSEVILLE

State

Zip

55113

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2008