AMTUL JABBAR SAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

AMTUL

Middle

JABBAR

Last Name

SAMI

Suffix

Business Name

AMTUL JABBAR SAMI MD

Original Issue Date

07/14/1998

Effective Date

07/14/1998

Expiration Date

07/31/1999

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020