KHADIJA SULTANA MALIK 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

KHADIJA SULTANA

Last Name

MALIK

Suffix

Business Name

KHADIJA SULTANA MALIK MD

Original Issue Date

11/19/1981

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017