HASEENA MAZHAR ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

HASEENA

Middle

MAZHAR

Last Name

ALI

Business Name

HASEENA MAZHAR ALI MD

Original Issue Date

08/10/2016

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021