NUSAYBAH MUNZER ISMAIL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

INOPERATIVE

Business

First Name

NUSAYBAH

Middle

MUNZER

Last Name

ISMAIL

Business Name

NUSAYBAH MUNZER ISMAIL

Original Issue Date

09/18/2015

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018