ZAKIAH SHUJATH ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

ZAKIAH

Middle

SHUJATH

Last Name

ALI

Suffix

Business Name

ZAKIAH SHUJATH ALI MD

Original Issue Date

12/15/1982

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023