ANJUM S OWAISI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

ANJUM

Middle

Last Name

OWAISI

Business Name

ANJUM S OWAISI

Original Issue Date

04/08/2004

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023