RUSSELL ISAM KHATER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

ISAM

Last Name

KHATER

Suffix

Business Name

RUSSELL ISAM KHATER MD

Original Issue Date

08/21/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023