ISHRAT ALI MIRZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

ISHRAT

Middle

ALI

Last Name

MIRZA

Suffix

Business Name

ISHRAT ALI MIRZA MD

Original Issue Date

04/18/2011

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023