TAHL NATHALIE HUMES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

TAHL

Middle

NATHALIE

Last Name

HUMES

Business Name

TAHL NATHALIE HUMES DO

Original Issue Date

02/02/2017

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

08/08/2023