AHMED FAYEZ SHOUKRY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

Title

DPM

First Name

AHMED

Middle

FAYEZ

Last Name

SHOUKRY

Business Name

AHMED FAYEZ SHOUKRY DPM

Original Issue Date

07/22/2014

Effective Date

02/03/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019