KHAJA A NASARUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

KHAJA A

Last Name

NASARUDDIN

Suffix

Business Name

KHAJA A NASARUDDIN MD

Original Issue Date

06/27/2022

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023