MEMOONA MIAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

MEMOONA

Last Name

MIAN

Business Name

MEMOONA MIAN

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

GLENVIEW

State

Zip

60025

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/15/2025