AHMED ADAM MUSTAFA ABUDRA - Physician Assistant License in Illinois | # 38*****81

AHMED ADAM MUSTAFA ABUDRA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

N

First Name

AHMED ADAM

Middle

MUSTAFA

Last Name

ABUDRA

Business Name

AHMED ADAM MUSTAFA ABUDRA

Original Issue Date

02/24/2017

Effective Date

02/13/2018

Expiration Date

03/01/2020

State

IL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/24/2020