KHADIJA SULTANA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

KHADIJA SULTANA

Last Name

MALIK

Suffix

Business Name

KHADIJA SULTANA MALIK MD

Original Issue Date

09/28/1984

Effective Date

09/28/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017