NAHIDH WALEED HASANIYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

NAHIDH

Middle

WALEED

Last Name

HASANIYA

Suffix

Business Name

NAHIDH WALEED HASANIYA MD

Original Issue Date

08/13/2003

Effective Date

08/13/2003

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006