REDOUANE BOUMENDJEL 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

First Name

REDOUANE

Last Name

BOUMENDJEL

Suffix

Business Name

REDOUANE BOUMENDJEL MD

Original Issue Date

01/18/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023