MALIK M MERCHANT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MALIK

Middle

Last Name

MERCHANT

Business Name

MALIK M MERCHANT

Original Issue Date

07/15/1996

Effective Date

07/15/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006