MALIK T RAHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

MALIK

Middle

Last Name

RAHIM

Suffix

Business Name

MALIK T RAHIM MD

Original Issue Date

02/23/2010

Effective Date

02/23/2010

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011