AMMAR AL KAWI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

AMMAR

Last Name

AL KAWI

Business Name

AMMAR AL KAWI

Original Issue Date

01/17/2003

Effective Date

01/17/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006