VATHIAR RAHIM TAZUDEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

VATHIAR RAHIM

Last Name

TAZUDEEN

Suffix

Business Name

VATHIAR RAHIM TAZUDEEN MD

Original Issue Date

01/01/1997

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021