MAMDOUH LATIF ISHAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

MAMDOUH LATIF

Last Name

ISHAK

Suffix

Business Name

MAMDOUH LATIF ISHAK MD

Original Issue Date

01/01/1997

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023