AHMAD MAMDOH TARAKJI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

AHMAD

Middle

MAMDOH

Last Name

TARAKJI

Suffix

Business Name

AHMAD MAMDOH TARAKJI MD

Original Issue Date

11/29/2007

Effective Date

11/20/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/20/2024