ESSAM FATHY MEKHAIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050362

License Status

CANCELLED

Business

Title

First Name

ESSAM

Middle

FATHY

Last Name

MEKHAIEL

Business Name

ESSAM FATHY MEKHAIEL MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006