MARIETTA J ABRAHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

MARIETTA

Middle

Last Name

ABRAHAM

Business Name

MARIETTA J ABRAHAM MD

Original Issue Date

08/27/2003

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023