SAMIR GAMAL SHAKER-ISHAK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089864

License Status

INACTIVE

Business

First Name

SAMIR GAMAL

Last Name

SHAKER-ISHAK

Business Name

SAMIR GAMAL SHAKER-ISHAK

Original Issue Date

10/26/1994

Effective Date

10/26/1994

Expiration Date

07/31/2005

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006