IVAN N MUGISHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

IVAN

Middle

Last Name

MUGISHA

Business Name

IVAN N MUGISHA MD

Original Issue Date

07/21/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023