SANYA GHOUSUNNISA SIRAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134171

License Status

ACTIVE

Business

Title

First Name

SANYA

Middle

GHOUSUNNISA

Last Name

SIRAJ

Business Name

SANYA GHOUSUNNISA SIRAJ MD

Original Issue Date

11/14/2013

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/23/2023