YOUSSEF S DERBALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

YOUSSEF

Middle

Last Name

DERBALA

Business Name

YOUSSEF S DERBALA MD

Original Issue Date

10/11/2017

Effective Date

10/11/2017

Expiration Date

09/30/2020

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021