KHUTB MOHAMMAD UDDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

KHUTB

Middle

MOHAMMAD

Last Name

UDDIN

Suffix

Business Name

KHUTB MOHAMMAD UDDIN MD

Original Issue Date

10/22/1986

Effective Date

10/22/1986

Expiration Date

07/31/1993

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020