SAMIR GAMAL SHAKER-ISHAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SAMIR GAMAL

Last Name

SHAKER-ISHAK

Business Name

SAMIR GAMAL SHAKER-ISHAK

Original Issue Date

10/27/1994

Effective Date

10/27/1994

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006