MOHAMED K ADENWALLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

MOHAMED

Middle

Last Name

ADENWALLA

Business Name

MOHAMED K ADENWALLA

Original Issue Date

06/18/2004

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023