HAMOOD UR-REHMAN MALIK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

HAMOOD

Middle

UR-REHMAN

Last Name

MALIK

Business Name

HAMOOD UR-REHMAN MALIK

Original Issue Date

06/24/2020

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SANTA FE

State

Zip

87501

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2023