FAKHRUDIN AASEEMAH MOHAMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

FAKHRUDIN

Last Name

AASEEMAH MOHAMED

Business Name

FAKHRUDIN AASEEMAH MOHAMED MD

Original Issue Date

10/24/2017

Effective Date

10/24/2017

Expiration Date

09/30/2020

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021