RUKHSANA GOHAR MIRZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

RUKHSANA

Middle

GOHAR

Last Name

MIRZA

Suffix

Business Name

RUKHSANA GOHAR MIRZA MD

Original Issue Date

02/18/2005

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023