IJAZ QAYYUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

IJAZ

Last Name

QAYYUM

Business Name

IJAZ QAYYUM

Original Issue Date

01/01/1997

Effective Date

10/13/2020

Expiration Date

07/31/2023

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2025