MOUHAMMAD EHSAN SOUMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

MOUHAMMAD EHSAN

Last Name

SOUMAN

Suffix

Business Name

MOUHAMMAD EHSAN SOUMAN MD

Original Issue Date

03/28/1986

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021