ESRA FATMA TASALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

ESRA

Middle

FATMA

Last Name

TASALI

Suffix

Business Name

ESRA FATMA TASALI MD

Original Issue Date

01/06/2005

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023