B HASSANALI MAMDANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

B HASSANALI

Last Name

MAMDANI

Suffix

Business Name

B HASSANALI MAMDANI MD

Original Issue Date

01/01/1997

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017