AAISHA SHAMSUL HAQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

AAISHA

Middle

SHAMSUL

Last Name

HAQUE

Suffix

Business Name

AAISHA SHAMSUL HAQUE MD

Original Issue Date

07/17/2007

Effective Date

04/30/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014