GHULAM MUSTAFA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

CANCELLED

Business

First Name

GHULAM

Last Name

MUSTAFA

Business Name

GHULAM MUSTAFA

Original Issue Date

11/06/1995

Effective Date

11/06/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006