LISTIANINGSIH M HARIMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

LISTIANINGSIH

Middle

Last Name

HARIMAN

Suffix

Business Name

LISTIANINGSIH M HARIMAN MD

Original Issue Date

08/27/1985

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023