NISA CEM OREN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

NISA

Middle

CEM

Last Name

OREN

Business Name

NISA CEM OREN MD

Original Issue Date

06/03/2023

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023