MOHAMMED RAASIQ UL IMAN GANDAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164074

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

RAASIQ UL IMAN

Last Name

GANDAM

Business Name

MOHAMMED RAASIQ UL IMAN GANDAM MD

Original Issue Date

03/22/2023

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/06/2023