MARRIAM S ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

MARRIAM

Middle

Last Name

ALI

Business Name

MARRIAM S ALI MD

Original Issue Date

06/01/2021

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

07/17/2023