SYED S HUSAIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

SYED

Middle

Last Name

HUSAIN

Business Name

SYED S HUSAIN

Original Issue Date

04/16/2002

Effective Date

04/16/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006