TALLAT A ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

TALLAT A

Last Name

ALI

Suffix

Business Name

TALLAT A ALI MD

Original Issue Date

01/01/1997

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011