WAJAHAT MIRZA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

WAJAHAT

Last Name

MIRZA

Business Name

WAJAHAT MIRZA

Original Issue Date

11/05/1993

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023