MASUD IQBAL MALIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

MASUD

Middle

IQBAL

Last Name

MALIK

Suffix

Business Name

MASUD IQBAL MALIK MD

Original Issue Date

02/18/2004

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023