SHEMARIAH LAISH ISRAEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

SHEMARIAH

Middle

LAISH

Last Name

ISRAEL

Business Name

SHEMARIAH LAISH ISRAEL MD

Original Issue Date

04/21/2025

Effective Date

04/21/2025

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2025