FARAH N ALI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

FARAH

Middle

Last Name

ALI

Business Name

FARAH N ALI

Original Issue Date

05/25/2004

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020