SYEDA MAZHER-FAT ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SYEDA MAZHER-FAT

Last Name

ALI

Suffix

Business Name

SYEDA MAZHER-FAT ALI MD

Original Issue Date

04/08/1996

Effective Date

04/08/1996

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006