FAKHRUDIN AASEEMAH MOHAMED MD - Medical Doctor License in Illinois | # 33*****14

FAKHRUDIN AASEEMAH MOHAMED MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

N

Title

MD

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

State

IL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021