SIDNEY J HANISH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

SIDNEY J

Last Name

HANISH

Suffix

Business Name

SIDNEY J HANISH MD

Original Issue Date

09/23/1993

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023