ANTONIO TAJUAN MISTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

ANTONIO

Middle

TAJUAN

Last Name

MISTER

Business Name

ANTONIO TAJUAN MISTER MD

Original Issue Date

09/20/2011

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023