JAMES ANTHONY IDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132972

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

ANTHONY

Last Name

IDA

Business Name

JAMES ANTHONY IDA MD

Original Issue Date

05/15/2013

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2023