ESSAM FATHY MEKHAIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

ESSAM

Middle

FATHY

Last Name

MEKHAIEL

Business Name

ESSAM FATHY MEKHAIEL MD

Original Issue Date

10/25/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023