IBRAHIM A KHAJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Middle

Last Name

KHAJA

Suffix

Business Name

IBRAHIM A KHAJA MD

Original Issue Date

04/18/2007

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020