NINEF EDWARD ZAYA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

NINEF

Middle

EDWARD

Last Name

ZAYA

Business Name

NINEF EDWARD ZAYA

Original Issue Date

08/12/2008

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023