AMJAD M ALI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129126

License Status

NOT RENEWED

Business

First Name

AMJAD

Middle

Last Name

ALI

Business Name

AMJAD M ALI

Original Issue Date

10/21/2011

Effective Date

10/21/2011

Expiration Date

07/31/2014

City

LOUISVILLE

State

Zip

40204

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/17/2014