RAJA BAHJAT KHAULI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

RAJA

Middle

BAHJAT

Last Name

KHAULI

Business Name

RAJA BAHJAT KHAULI MD

Original Issue Date

04/30/2021

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023