ROBINA NADIR POONAWALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

ROBINA NADIR

Last Name

POONAWALA

Suffix

Business Name

ROBINA NADIR POONAWALA MD

Original Issue Date

05/26/1982

Effective Date

05/26/1982

Expiration Date

07/31/1984

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006