NAFISA YUNUS GHADIALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

NAFISA

Middle

YUNUS

Last Name

GHADIALI

Suffix

Business Name

NAFISA YUNUS GHADIALI MD

Original Issue Date

11/04/1997

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021