FATEMA M PHOTOWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

FATEMA

Middle

Last Name

PHOTOWALA

Business Name

FATEMA M PHOTOWALA MD

Original Issue Date

07/11/2006

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023