FAAIZA TASADDUQ VAINCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

FAAIZA

Middle

TASADDUQ

Last Name

VAINCE

Business Name

FAAIZA TASADDUQ VAINCE MD

Original Issue Date

09/16/2014

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023