IMRANA M ALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119809

License Status

NOT RENEWED

Business

Title

First Name

IMRANA

Middle

Last Name

ALI

Business Name

IMRANA M ALI MD

Original Issue Date

12/11/2007

Effective Date

10/02/2015

Expiration Date

07/31/2017

City

PORT JEFFERSON

State

Zip

11777

Ever Disciplined

LastModifiedDate

11/01/2017