NASRATULLAH WAHIDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

NASRATULLAH

Last Name

WAHIDI

Business Name

NASRATULLAH WAHIDI MD

Original Issue Date

05/13/2021

Effective Date

05/13/2021

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023