AYISHA BAHAUDDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

AYISHA

Last Name

BAHAUDDIN

Suffix

Business Name

AYISHA BAHAUDDIN MD

Original Issue Date

04/16/1998

Effective Date

04/16/1998

Expiration Date

07/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011