SOPHIE WALIANY ESMAIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

SOPHIE

Middle

WALIANY

Last Name

ESMAIL

Business Name

SOPHIE WALIANY ESMAIL MD

Original Issue Date

04/18/2017

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021