AMMAR TAHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

AMMAR

Last Name

TAHA

Business Name

AMMAR TAHA MD

Original Issue Date

03/04/2022

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

WEST BLOOMFIELD

State

Zip

48322

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023