FOWZIA S GHOUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

FOWZIA

Middle

Last Name

GHOUSE

Suffix

Business Name

FOWZIA S GHOUSE MD

Original Issue Date

05/04/1998

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023