SHERIF MEDHAT LATIF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

SHERIF

Middle

MEDHAT

Last Name

LATIF

Business Name

SHERIF MEDHAT LATIF MD

Original Issue Date

05/07/2021

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023