SHEZAD A MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

SHEZAD A

Last Name

MALIK

Suffix

Business Name

SHEZAD A MALIK MD

Original Issue Date

11/24/1986

Effective Date

11/24/1986

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006