SHAAISTA BAHADURALI BUDHANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

SHAAISTA

Middle

BAHADURALI

Last Name

BUDHANI

Business Name

SHAAISTA BAHADURALI BUDHANI MD

Original Issue Date

12/12/2017

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023