KHAWAJA KIFAYATULLAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

KHAWAJA

Last Name

KIFAYATULLAH

Business Name

KHAWAJA KIFAYATULLAH

Original Issue Date

08/18/1997

Effective Date

08/18/1997

Expiration Date

07/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006