ABULFAZAL S M ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ABULFAZAL S M

Last Name

ALI

Suffix

Business Name

ABULFAZAL S M ALI MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017