NUSAYBAH MUNZER ISMAIL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005644

License Status

NOT RENEWED

Business

First Name

NUSAYBAH

Middle

MUNZER

Last Name

ISMAIL

Business Name

NUSAYBAH MUNZER ISMAIL

Original Issue Date

09/17/2015

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018