ISSAM A MIKATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

ISSAM

Middle

Last Name

MIKATI

Suffix

Business Name

ISSAM A MIKATI MD

Original Issue Date

06/06/2005

Effective Date

09/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020