ALI TAHA HAMOUDI HAMOUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

ALI

Middle

TAHA HAMOUDI

Last Name

HAMOUDI

Business Name

ALI TAHA HAMOUDI HAMOUDI MD

Original Issue Date

07/13/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023