MOHAMMED SAMIRUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

MOHAMMED

Last Name

SAMIRUDDIN

Suffix

Business Name

MOHAMMED SAMIRUDDIN MD

Original Issue Date

10/30/2008

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023