VIQUAR M KHAN MUNDOZIE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

VIQUAR

Middle

Last Name

KHAN MUNDOZIE

Business Name

VIQUAR M KHAN MUNDOZIE

Original Issue Date

06/06/2002

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023