OMAIMA DEGANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

OMAIMA

Last Name

DEGANI

Suffix

Business Name

OMAIMA DEGANI MD

Original Issue Date

12/07/2006

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023