SANJIDA A MIRZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

SANJIDA A

Last Name

MIRZA

Suffix

Business Name

SANJIDA A MIRZA MD

Original Issue Date

05/18/1983

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020