MUDASSAR KHAN SANDOZI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

MUDASSAR

Middle

KHAN

Last Name

SANDOZI

Business Name

MUDASSAR KHAN SANDOZI DO

Original Issue Date

05/28/2024

Effective Date

05/28/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026