ETIHAD S AL-FALAHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ETIHAD S

Last Name

AL-FALAHI

Suffix

Business Name

ETIHAD S AL-FALAHI MD

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006