AFAQ MOTIWALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

AFAQ

Last Name

MOTIWALA

Business Name

AFAQ MOTIWALA MD

Original Issue Date

06/26/2015

Effective Date

02/28/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60604

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021