IDRIES JAMAL ABDUR-RAHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

IDRIES

Middle

JAMAL

Last Name

ABDUR-RAHMAN

Suffix

Business Name

IDRIES JAMAL ABDUR-RAHMAN MD

Original Issue Date

12/12/2005

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023