HYTHEM P SHADID MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

HYTHEM

Middle

Last Name

SHADID

Suffix

Business Name

HYTHEM P SHADID MD

Original Issue Date

06/10/1994

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023