INSIYA SHABBIR RASIWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

INSIYA

Middle

SHABBIR

Last Name

RASIWALA

Business Name

INSIYA SHABBIR RASIWALA MD

Original Issue Date

07/19/2017

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

FAYETTEVILLE

State

Zip

30215

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023