KHUDSIA R IRFAN 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

KHUDSIA

Middle

Last Name

IRFAN

Suffix

Business Name

KHUDSIA R IRFAN MD

Original Issue Date

02/22/2010

Effective Date

02/22/2010

Expiration Date

07/31/2011

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/05/2020