TAIZOON HONEID BAXAMUSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

TAIZOON

Middle

HONEID

Last Name

BAXAMUSA

Suffix

Business Name

TAIZOON HONEID BAXAMUSA MD

Original Issue Date

04/13/2001

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023