LAILA G HANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

LAILA G

Last Name

HANNA

Suffix

Business Name

LAILA G HANNA MD

Original Issue Date

10/15/1986

Effective Date

10/15/1986

Expiration Date

07/31/2008

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008