FADI MICHEL SHAMSHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

FADI

Middle

MICHEL

Last Name

SHAMSHAM

Suffix

Business Name

FADI MICHEL SHAMSHAM MD

Original Issue Date

07/01/2009

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023