AYESHA IMRAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

AYESHA

Last Name

IMRAN

Business Name

AYESHA IMRAN

Original Issue Date

12/21/1999

Effective Date

12/21/1999

Expiration Date

07/31/2002

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020