RAHMAN FAZIL MOHAMMED ABDUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

RAHMAN

Middle

FAZIL

Last Name

MOHAMMED ABDUL

Business Name

RAHMAN FAZIL MOHAMMED ABDUL MD

Original Issue Date

09/11/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MADISON

State

Zip

35758

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021