MOHAMMAD NIZAM UDDIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

First Name

MOHAMMAD

Middle

NIZAM

Last Name

UDDIN

Suffix

Business Name

MOHAMMAD NIZAM UDDIN MD

Original Issue Date

07/14/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011