JACOB JERIES ABOU-HANNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

JERIES

Last Name

ABOU-HANNA

Business Name

JACOB JERIES ABOU-HANNA MD

Original Issue Date

07/08/2024

Effective Date

07/08/2024

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024