Information as of 08/12/2020

Last Updated by Licensee on 12/31/2019

Samina Ismail - MD Full and Unrestricted
License#: 
Issue Date: 
200401518
10/28/2004
License Status: 
Renewal Date:
Active  
01/08/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200401518 10/28/2004 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
  Temporary10/28/200412/06/2004
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported