MAAJID MOHAMMED YUNUS EKKISWALA 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

Title

First Name

MAAJID MOHAMMED

Middle

YUNUS

Last Name

EKKISWALA

Business Name

MAAJID MOHAMMED YUNUS EKKISWALA MD

Original Issue Date

05/22/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023