DANY MAMOU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

DANY

Last Name

MAMOU

Business Name

DANY MAMOU MD

Original Issue Date

07/26/2018

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023