SYED S MUMTAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

SYED S

Last Name

MUMTAZ

Suffix

Business Name

SYED S MUMTAZ MD

Original Issue Date

12/31/2002

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023