SUMMAIYA MUHAMMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

SUMMAIYA

Last Name

MUHAMMAD

Suffix

Business Name

SUMMAIYA MUHAMMAD MD

Original Issue Date

08/06/2009

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014