KHAWAJA A AMMAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

KHAWAJA A

Last Name

AMMAR

Business Name

KHAWAJA A AMMAR

Original Issue Date

03/15/1995

Effective Date

03/15/1995

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017