IBRAHIM ABDALLA MD - Medical Doctor License in Missouri | # 33*****45

IBRAHIM ABDALLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

N

First Name

IBRAHIM

Last Name

ABDALLA

Suffix

MD

Business Name

IBRAHIM ABDALLA MD

Original Issue Date

05/04/1998

Effective Date

04/23/2014

Expiration Date

07/31/2017

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020