HAROON MASCOD ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068289

License Status

CANCELLED

Business

Title

First Name

HAROON

Middle

MASCOD

Last Name

ALI

Business Name

HAROON MASCOD ALI MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/10/2016