MARINA IBRAHIM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

MARINA

Last Name

IBRAHIM

Business Name

MARINA IBRAHIM

Original Issue Date

01/03/2023

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

CHICAGO HEIGHTS

State

Zip

60411

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026