IBRAHIM A KHAJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Middle

Last Name

KHAJA

Suffix

Business Name

IBRAHIM A KHAJA MD

Original Issue Date

12/28/2009

Effective Date

12/28/2009

Expiration Date

07/31/2011

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020