THIDA MAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

THIDA

Last Name

MAW

Suffix

Business Name

THIDA MAW MD

Original Issue Date

10/31/1989

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023