HONEID M BAXAMUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

HONEID M

Last Name

BAXAMUSA

Suffix

Business Name

HONEID M BAXAMUSA MD

Original Issue Date

01/01/1997

Effective Date

04/05/2019

Expiration Date

09/30/2020

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021