SAMIRA HANIF GHANIWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

SAMIRA

Middle

HANIF

Last Name

GHANIWALA

Business Name

SAMIRA HANIF GHANIWALA MD

Original Issue Date

08/12/2019

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023