OLA MAHMOUD ALI KHRAIWESH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

OLA

Middle

MAHMOUD ALI

Last Name

KHRAIWESH

Business Name

OLA MAHMOUD ALI KHRAIWESH MD

Original Issue Date

05/13/2016

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023