MUJADDID MASOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

MUJADDID

Last Name

MASOOD

Suffix

Business Name

MUJADDID MASOOD MD

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006