TALIB Y ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

TALIB

Middle

Last Name

ALI

Suffix

Business Name

TALIB Y ALI MD

Original Issue Date

08/30/1999

Effective Date

02/03/2025

Expiration Date

07/31/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2025