MARIYAM ALAM - Physician Assistant License in Illinois | # 38*****39

MARIYAM ALAM

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

N

First Name

MARIYAM

Last Name

ALAM

Business Name

MARIYAM ALAM

Original Issue Date

05/13/2025

Effective Date

01/23/2026

Expiration Date

03/01/2028

State

IL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/23/2026