Ghulam Mujtaba Md
InactiveIllinois license 125077354
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125077354
- Status
- Inactive (Cancelled)
- First issued
- July 1, 2021
- Expired
- June 30, 2024
- License holder
- Ghulam Mujtaba
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Psychiatry
- Current term began
- 07/01/2021
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Contact
Champaign, IL 61820
Champaign County