DIMA OTAISHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156979

License Status

ACTIVE

Business

Title

First Name

DIMA

Last Name

OTAISHAN

Business Name

DIMA OTAISHAN MD

Original Issue Date

05/17/2021

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

Ever Disciplined

LastModifiedDate

06/25/2023