MIR M ALI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

MIR

Middle

Last Name

ALI

Business Name

MIR M ALI

Original Issue Date

02/17/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023