KHONDKER KASHIFUL ISLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

KHONDKER

Middle

KASHIFUL

Last Name

ISLAM

Suffix

Business Name

KHONDKER KASHIFUL ISLAM MD

Original Issue Date

03/31/2000

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023