AMBEREEN ALAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

AMBEREEN

Last Name

ALAM

Suffix

Business Name

AMBEREEN ALAM MD

Original Issue Date

02/09/2009

Effective Date

08/04/2020

Expiration Date

07/31/2023

City

BLOOMINGDALE

State

Zip

60108

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023