JAMIL BASIM DIHU Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

JAMIL

Middle

BASIM

Last Name

DIHU

Business Name

JAMIL BASIM DIHU

Original Issue Date

09/11/2009

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023