MAYYAS S ISHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MAYYAS

Middle

Last Name

ISHO

Suffix

Business Name

MAYYAS S ISHO MD

Original Issue Date

12/13/2005

Effective Date

12/13/2005

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008