TALHA ABDUL AWWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170676

License Status

ACTIVE

Business

Title

First Name

TALHA

Middle

ABDUL

Last Name

AWWAL

Business Name

TALHA ABDUL AWWAL MD

Original Issue Date

06/21/2024

Effective Date

06/21/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/21/2024