IBTISAM CHOUDHURY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

IBTISAM

Last Name

CHOUDHURY

Suffix

Business Name

IBTISAM CHOUDHURY MD

Original Issue Date

11/30/2015

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LEXINGTON

State

Zip

40517

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023