ISSAM M MAATOUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

ISSAM

Middle

Last Name

MAATOUK

Suffix

Business Name

ISSAM M MAATOUK MD

Original Issue Date

03/25/2002

Effective Date

03/25/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020