MICHAEL ISSAM MAITAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ISSAM

Last Name

MAITAR

Suffix

Business Name

MICHAEL ISSAM MAITAR MD

Original Issue Date

12/06/1990

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023