ALI R EFFENDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ALI

Middle

Last Name

EFFENDI

Business Name

ALI R EFFENDI

Original Issue Date

12/15/2005

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017