MUDASSAR KHAN SANDOZI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077873

License Status

CANCELLED

Business

Title

First Name

MUDASSAR

Middle

KHAN

Last Name

SANDOZI

Business Name

MUDASSAR KHAN SANDOZI DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/21/2021