NUZHAT A CHALISA 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

NUZHAT

Middle

Last Name

CHALISA

Business Name

NUZHAT A CHALISA

Original Issue Date

08/10/2005

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHANNAHON

State

Zip

60410

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023