MARIAM KHALID 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

Title

First Name

MARIAM

Last Name

KHALID

Business Name

MARIAM KHALID MD

Original Issue Date

11/12/2019

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023