MOHAMMED ALTAF KAISERUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

ALTAF

Last Name

KAISERUDDIN

Business Name

MOHAMMED ALTAF KAISERUDDIN MD

Original Issue Date

10/20/2004

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023