NAZIA KULSUM-MECCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

NAZIA

Last Name

KULSUM-MECCI

Business Name

NAZIA KULSUM-MECCI MD

Original Issue Date

08/24/2015

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023