IFZAL K BANGASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

IFZAL

Middle

Last Name

BANGASH

Suffix

Business Name

IFZAL K BANGASH MD

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

07/31/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020