KHYLDOON SELIM BAJWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

KHYLDOON

Middle

SELIM

Last Name

BAJWA

Business Name

KHYLDOON SELIM BAJWA MD

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017