ABDULMONAM AHMAD ABULGASEM ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

ABDULMONAM

Middle

AHMAD ABULGASEM

Last Name

ALI

Business Name

ABDULMONAM AHMAD ABULGASEM ALI MD

Original Issue Date

03/10/2017

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023