MOHAMMED SHAHRUKH FAHAD 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

Title

First Name

MOHAMMED

Middle

SHAHRUKH

Last Name

FAHAD

Business Name

MOHAMMED SHAHRUKH FAHAD MD

Original Issue Date

07/25/2022

Effective Date

07/25/2022

Expiration Date

07/31/2023

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023