ATIF FAKHRUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

ATIF

Last Name

FAKHRUDDIN

Suffix

Business Name

ATIF FAKHRUDDIN MD

Original Issue Date

06/13/2006

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023