HADI FAROUK SHAABAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

HADI

Middle

FAROUK

Last Name

SHAABAN

Suffix

Business Name

HADI FAROUK SHAABAN DO

Original Issue Date

01/04/2017

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023