SYED W ALI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

SYED W

Last Name

ALI

Business Name

SYED W ALI

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006