PERVAZ M CHOUDRY 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

PERVAZ M

Last Name

CHOUDRY

Business Name

PERVAZ M CHOUDRY

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006