FAYEZ SHUKAIRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

FAYEZ

Last Name

SHUKAIRY

Business Name

FAYEZ SHUKAIRY MD

Original Issue Date

07/26/2024

Effective Date

07/26/2024

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024