WAHID ABDUL TAZUDEEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

WAHID

Middle

ABDUL

Last Name

TAZUDEEN

Business Name

WAHID ABDUL TAZUDEEN MD

Original Issue Date

01/14/2013

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023