IMDAD N YUSUFALY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

IMDAD N

Last Name

YUSUFALY

Business Name

IMDAD N YUSUFALY

Original Issue Date

12/21/1987

Effective Date

12/21/1987

Expiration Date

07/31/1990

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006