ABDUL RAZZAQ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048451

License Status

NOT RENEWED

Business

First Name

ABDUL

Last Name

RAZZAQ

Suffix

Business Name

ABDUL RAZZAQ MD

Original Issue Date

10/06/1973

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021