AYEZAH MIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

AYEZAH

Last Name

MIR

Suffix

Business Name

AYEZAH MIR MD

Original Issue Date

05/25/2005

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SHOREWOOD

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023