SHEHETAJ G ABDURRAHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

SHEHETAJ G

Last Name

ABDURRAHIM

Suffix

Business Name

SHEHETAJ G ABDURRAHIM MD

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006