GHAITH H SHAAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

GHAITH

Middle

Last Name

SHAAYA

Suffix

Business Name

GHAITH H SHAAYA MD

Original Issue Date

06/14/2017

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023