ZIAD FARES ISSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

ZIAD

Middle

FARES

Last Name

ISSA

Suffix

Business Name

ZIAD FARES ISSA MD

Original Issue Date

05/24/2005

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023