KANEEZ FATIMA ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

KANEEZ

Middle

FATIMA

Last Name

ALI

Business Name

KANEEZ FATIMA ALI MD

Original Issue Date

07/16/2015

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023