ZAID ALI SHTAIWI AL-ZAGHAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

ZAID

Middle

ALI SHTAIWI

Last Name

AL-ZAGHAL

Business Name

ZAID ALI SHTAIWI AL-ZAGHAL MD

Original Issue Date

07/26/2021

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023