ABDUS SAMAD SOUDAGAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

ABDUS

Middle

SAMAD

Last Name

SOUDAGAR

Business Name

ABDUS SAMAD SOUDAGAR MD

Original Issue Date

04/03/2012

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023