HAMZA FADHIL MANCY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

HAMZA

Middle

FADHIL

Last Name

MANCY

Business Name

HAMZA FADHIL MANCY MD

Original Issue Date

03/24/2020

Effective Date

03/24/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023