BASEL I AL-ASWAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

BASEL I

Last Name

AL-ASWAD

Suffix

Business Name

BASEL I AL-ASWAD MD

Original Issue Date

01/01/1997

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023