HASSAN M FATHALLAH-SHAYKH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

HASSAN

Middle

Last Name

FATHALLAH-SHAYKH

Suffix

Business Name

HASSAN M FATHALLAH-SHAYKH MD

Original Issue Date

09/02/1987

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011