OUSSAMA ITANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

OUSSAMA

Last Name

ITANI

Suffix

Business Name

OUSSAMA ITANI MD

Original Issue Date

08/21/2000

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023