JAMAL D MUSTAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

JAMAL D

Last Name

MUSTAFA

Suffix

Business Name

JAMAL D MUSTAFA MD

Original Issue Date

08/22/1991

Effective Date

08/22/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006