HAROON MASCOD ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

HAROON

Middle

MASCOD

Last Name

ALI

Business Name

HAROON MASCOD ALI MD

Original Issue Date

02/22/2019

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023