A GHAFOOR BAHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

Middle

GHAFOOR

Last Name

BAHA

Suffix

Business Name

A GHAFOOR BAHA MD

Original Issue Date

01/26/2000

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023