ALI TARIQ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151512

License Status

ACTIVE

Business

Title

First Name

ALI

Last Name

TARIQ

Business Name

ALI TARIQ MD

Original Issue Date

01/09/2020

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/28/2023