RADWAN MALLAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

RADWAN

Last Name

MALLAH

Business Name

RADWAN MALLAH MD

Original Issue Date

01/29/2024

Effective Date

01/29/2024

Expiration Date

07/31/2026

City

BIRMINGHAM

State

Zip

35242

County

SHELBY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2024