FADI MICHEL SHAMSHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123701

License Status

ACTIVE

Business

First Name

FADI

Middle

MICHEL

Last Name

SHAMSHAM

Suffix

Business Name

FADI MICHEL SHAMSHAM MD

Original Issue Date

06/10/2009

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

04/08/2023