SYED KHAJA AZHARUDDIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150162

License Status

INACTIVE

Business

Title

First Name

SYED

Middle

KHAJA

Last Name

AZHARUDDIN

Business Name

SYED KHAJA AZHARUDDIN MD

Original Issue Date

07/10/2019

Effective Date

07/10/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/17/2020