OTHMAN MAHMOUD MOHAMMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

OTHMAN

Middle

MAHMOUD

Last Name

MOHAMMAD

Business Name

OTHMAN MAHMOUD MOHAMMAD MD

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2023