IHTESHAM-UR SYED RAHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

IHTESHAM-UR

Middle

SYED

Last Name

RAHMAN

Business Name

IHTESHAM-UR SYED RAHMAN MD

Original Issue Date

06/22/2016

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021