ELIE KHADR MANGOUBI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

ELIE KHADR

Last Name

MANGOUBI

Suffix

Business Name

ELIE KHADR MANGOUBI MD

Original Issue Date

01/24/2022

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/10/2023