HUSAM M ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

HUSAM

Middle

Last Name

ALI

Business Name

HUSAM M ALI MD

Original Issue Date

01/10/2022

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023