SANA ISA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097664

License Status

NOT RENEWED

Business

First Name

SANA

Last Name

ISA

Business Name

SANA ISA

Original Issue Date

04/15/1998

Effective Date

04/15/1998

Expiration Date

07/31/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006