IMRAN LASHARI BALOUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

IMRAN

Middle

LASHARI

Last Name

BALOUCH

Business Name

IMRAN LASHARI BALOUCH MD

Original Issue Date

05/16/2013

Effective Date

08/14/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2023