ISHTIAQ AHMED HABIB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

ISHTIAQ

Middle

AHMED

Last Name

HABIB

Business Name

ISHTIAQ AHMED HABIB MD

Original Issue Date

07/05/2019

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023