OMAR SHAMSHAD HUSSAIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

OMAR

Middle

SHAMSHAD

Last Name

HUSSAIN

Business Name

OMAR SHAMSHAD HUSSAIN

Original Issue Date

07/26/2004

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023