SYED MUHAMMAD BAQER IMAM 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

SYED

Middle

MUHAMMAD BAQER

Last Name

IMAM

Business Name

SYED MUHAMMAD BAQER IMAM

Original Issue Date

07/22/2020

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023