AFIFA G MINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

AFIFA G

Last Name

MINA

Suffix

Business Name

AFIFA G MINA MD

Original Issue Date

06/07/1983

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021