REZA ALEX GAMAGAMI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

REZA

Middle

ALEX

Last Name

GAMAGAMI

Suffix

Business Name

REZA ALEX GAMAGAMI MD

Original Issue Date

10/20/2000

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023