FAHAD KARIM MUSTAFA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

FAHAD

Middle

KARIM

Last Name

MUSTAFA

Business Name

FAHAD KARIM MUSTAFA MD

Original Issue Date

03/13/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023