GHULAM A MERCHANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

GHULAM

Middle

Last Name

MERCHANT

Suffix

Business Name

GHULAM A MERCHANT MD

Original Issue Date

05/16/2001

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020