RASHID AHMED M DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

RASHID AHMED M

Last Name

DALAL

Suffix

Business Name

RASHID AHMED M DALAL MD

Original Issue Date

08/14/2003

Effective Date

08/14/2003

Expiration Date

07/31/2008

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020