AZHAR M KOTHAWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140452

License Status

ACTIVE

Business

Title

First Name

AZHAR

Middle

Last Name

KOTHAWALA

Business Name

AZHAR M KOTHAWALA MD

Original Issue Date

04/21/2016

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/29/2023