RAED AL DALLOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106632

License Status

ACTIVE

Business

Title

First Name

RAED

Last Name

AL DALLOW

Business Name

RAED AL DALLOW MD

Original Issue Date

03/29/2002

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/14/2023