OMAR BASIL TAHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

BASIL

Last Name

TAHA

Business Name

OMAR BASIL TAHA MD

Original Issue Date

07/20/2021

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023