HASEENA MAZHAR ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141451

License Status

NOT RENEWED

Business

Title

First Name

HASEENA

Middle

MAZHAR

Last Name

ALI

Business Name

HASEENA MAZHAR ALI MD

Original Issue Date

08/10/2016

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/14/2021