AMIRA MARY BAHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

AMIRA

Middle

MARY

Last Name

BAHU

Business Name

AMIRA MARY BAHU MD

Original Issue Date

02/03/2004

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023