MUSTAFA TAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

MUSTAFA

Last Name

TAI

Business Name

MUSTAFA TAI MD

Original Issue Date

10/02/2018

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

BRIGHTON

State

Zip

02135

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023