ALAEDDIN ALI MAEZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

ALAEDDIN

Middle

ALI

Last Name

MAEZA

Business Name

ALAEDDIN ALI MAEZA MD

Original Issue Date

08/15/2019

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023