SARAH FATIMA AZAM BADER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

SARAH

Middle

FATIMA AZAM

Last Name

BADER

Business Name

SARAH FATIMA AZAM BADER DO

Original Issue Date

12/19/2023

Effective Date

12/19/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2023