MARIAM ANIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142926

License Status

ACTIVE

Business

Title

First Name

MARIAM

Last Name

ANIS

Business Name

MARIAM ANIS MD

Original Issue Date

04/10/2017

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

Ever Disciplined

LastModifiedDate

05/07/2023