MUSTUFA YAHYA BOXWALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

MUSTUFA

Middle

YAHYA

Last Name

BOXWALLA

Suffix

Business Name

MUSTUFA YAHYA BOXWALLA MD

Original Issue Date

03/28/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011