MARIANNE MAMDOUH HANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

MARIANNE

Middle

MAMDOUH

Last Name

HANA

Business Name

MARIANNE MAMDOUH HANA MD

Original Issue Date

09/11/2015

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023