KEROLUS EKRAM GAD SHEHATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

KEROLUS

Middle

EKRAM GAD

Last Name

SHEHATA

Business Name

KEROLUS EKRAM GAD SHEHATA MD

Original Issue Date

05/11/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023