RA'KERRY KAHLIL RAHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

RA'KERRY

Middle

KAHLIL

Last Name

RAHMAN

Business Name

RA'KERRY KAHLIL RAHMAN MD

Original Issue Date

07/08/2011

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017