ANGELA H MAHOME Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

MAHOME

Business Name

ANGELA H MAHOME

Original Issue Date

10/18/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023