MAHMOOD ALI QALBANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MAHMOOD

Middle

ALI

Last Name

QALBANI

Suffix

Business Name

MAHMOOD ALI QALBANI MD

Original Issue Date

03/17/2005

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011