MINA ADEL HANALLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

MINA

Middle

ADEL

Last Name

HANALLA

Business Name

MINA ADEL HANALLA

Original Issue Date

09/09/2023

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025