MIRZA SHABBIR ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070822

License Status

CANCELLED

Business

Title

First Name

MIRZA

Middle

SHABBIR

Last Name

ALI

Business Name

MIRZA SHABBIR ALI MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017