AYAZ AKHTAR MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

AYAZ

Middle

AKHTAR

Last Name

MALIK

Suffix

Business Name

AYAZ AKHTAR MALIK MD

Original Issue Date

08/16/2001

Effective Date

08/16/2001

Expiration Date

07/31/2005

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020