JAMES T MASSIMILIAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

JAMES T

Last Name

MASSIMILIAN

Suffix

Business Name

JAMES T MASSIMILIAN DO

Original Issue Date

08/04/1989

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023