MUFADDAL MUHAMMAD HASHIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MUFADDAL

Middle

MUHAMMAD

Last Name

HASHIM

Business Name

MUFADDAL MUHAMMAD HASHIM

Original Issue Date

07/23/2001

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023