JAMES ANTHONY IDA 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

JAMES

Middle

ANTHONY

Last Name

IDA

Business Name

JAMES ANTHONY IDA MD

Original Issue Date

09/18/2013

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023