MUHAMMAD MASIHUDDIN ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

MUHAMMAD

Middle

MASIHUDDIN

Last Name

ALI

Suffix

Business Name

MUHAMMAD MASIHUDDIN ALI MD

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2009