HYTHEM P SHADID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

HYTHEM

Middle

Last Name

SHADID

Suffix

Business Name

HYTHEM P SHADID MD

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020