FATIMA T MOHIUDDIN 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

First Name

FATIMA T

Last Name

MOHIUDDIN

Suffix

Business Name

FATIMA T MOHIUDDIN MD

Original Issue Date

07/06/1990

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023