MOHAMMED SHAHRUKH FAHAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

SHAHRUKH

Last Name

FAHAD

Business Name

MOHAMMED SHAHRUKH FAHAD MD

Original Issue Date

06/28/2022

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023