IMTIAZ ISMAIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

IMTIAZ

Last Name

ISMAIL

Business Name

IMTIAZ ISMAIL MD

Original Issue Date

08/16/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HANNIBAL

State

Zip

63401

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023