NAZIMA A MUSTAFA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

NAZIMA

Middle

Last Name

MUSTAFA

Business Name

NAZIMA A MUSTAFA

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

07/31/2005

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020