NASSIM BANISAEED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116251

License Status

ACTIVE

Business

First Name

NASSIM

Last Name

BANISAEED

Suffix

Business Name

NASSIM BANISAEED MD

Original Issue Date

06/19/2006

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2023