HABIB DAKKAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

HABIB

Last Name

DAKKAK

Suffix

Business Name

HABIB DAKKAK MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

07/31/2011

City

ROSEVILLE

State

Zip

55113

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011