ANUM HAQ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

ANUM

Last Name

HAQ

Prefix

Business Name

ANUM HAQ

Original Issue Date

03/13/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025