BASSAM FAOUR MATAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

BASSAM FAOUR

Last Name

MATAR

Suffix

Business Name

BASSAM FAOUR MATAR MD

Original Issue Date

06/02/1997

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023