SANDAL FAISAL ISHAQUE 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

SANDAL

Middle

FAISAL

Last Name

ISHAQUE

Business Name

SANDAL FAISAL ISHAQUE MD

Original Issue Date

11/13/2019

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023