ASHRAF TAMIZUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

ASHRAF

Last Name

TAMIZUDDIN

Suffix

Business Name

ASHRAF TAMIZUDDIN MD

Original Issue Date

12/09/1997

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023