SHARIQ M IBRAHIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

SHARIQ

Middle

Last Name

IBRAHIM

Business Name

SHARIQ M IBRAHIM

Original Issue Date

01/15/2008

Effective Date

01/15/2008

Expiration Date

07/31/2008

City

BOLINGBROOK

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020