IMAAN MAIMUNAH BASEER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

IMAAN

Middle

MAIMUNAH

Last Name

BASEER

Business Name

IMAAN MAIMUNAH BASEER DO

Original Issue Date

02/16/2022

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023