MIR MUMTAZ ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

CANCELLED

Business

First Name

MIR MUMTAZ

Last Name

ALI

Suffix

Business Name

MIR MUMTAZ ALI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006