MARIAM MAFEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

MARIAM

Last Name

MAFEE

Business Name

MARIAM MAFEE MD

Original Issue Date

05/14/2018

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

LA GRANGE PARK

State

Zip

60526

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023