KHAJA ASADULLAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

KHAJA

Last Name

ASADULLAH

Business Name

KHAJA ASADULLAH

Original Issue Date

03/11/1999

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023