NISHA RANI RAJA RAHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

NISHA

Middle

RANI

Last Name

RAJA RAHMAN

Business Name

NISHA RANI RAJA RAHMAN MD

Original Issue Date

11/19/2014

Effective Date

11/19/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020