FADI IBRAHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

FADI

Last Name

IBRAHIM

Business Name

FADI IBRAHIM MD

Original Issue Date

10/01/2015

Effective Date

10/01/2015

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017