NAFISA BANU IBRAHIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

NAFISA

Middle

BANU

Last Name

IBRAHIM

Suffix

Business Name

NAFISA BANU IBRAHIM MD

Original Issue Date

04/01/2016

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023