YUSUF ATA MOHYUDDIN 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

First Name

YUSUF

Middle

ATA

Last Name

MOHYUDDIN

Suffix

Business Name

YUSUF ATA MOHYUDDIN MD

Original Issue Date

12/14/2006

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023