AZRA MAQSOOD ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

AZRA

Middle

MAQSOOD

Last Name

ALI

Suffix

Business Name

AZRA MAQSOOD ALI MD

Original Issue Date

07/24/2006

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023