SYED KHAJA AZHARUDDIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069289

License Status

CANCELLED

Business

Title

First Name

SYED

Middle

KHAJA

Last Name

AZHARUDDIN

Business Name

SYED KHAJA AZHARUDDIN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2018