MUNA J ENSHIWAT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

MUNA

Middle

Last Name

ENSHIWAT

Business Name

MUNA J ENSHIWAT

Original Issue Date

05/13/1999

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023