KHAJA A NASARUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

KHAJA A

Last Name

NASARUDDIN

Suffix

Business Name

KHAJA A NASARUDDIN MD

Original Issue Date

10/24/1996

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023