AYAZ PATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

AYAZ

Last Name

PATHAN

Business Name

AYAZ PATHAN MD

Original Issue Date

08/01/2023

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023