WAHAJ MUSTAFA ZAIDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

WAHAJ

Middle

MUSTAFA

Last Name

ZAIDI

Business Name

WAHAJ MUSTAFA ZAIDI MD

Original Issue Date

12/05/2011

Effective Date

12/05/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014