AMY AISHA HAKIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

AMY

Middle

AISHA

Last Name

HAKIM

Suffix

Business Name

AMY AISHA HAKIM MD

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008