TALLAT A ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058479

License Status

NOT RENEWED

Business

First Name

TALLAT A

Last Name

ALI

Suffix

Business Name

TALLAT A ALI MD

Original Issue Date

03/22/1979

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011