MOHAMMED SHAHRUKH FAHAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073800

License Status

CANCELLED

Business

Title

First Name

MOHAMMED

Middle

SHAHRUKH

Last Name

FAHAD

Business Name

MOHAMMED SHAHRUKH FAHAD MD

Original Issue Date

06/19/2019

Effective Date

06/19/2019

Expiration Date

06/18/2022

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/08/2019