MOTAZ RIAD WRAIKAT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

MOTAZ

Middle

RIAD

Last Name

WRAIKAT

Business Name

MOTAZ RIAD WRAIKAT DO

Original Issue Date

07/10/2018

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

GOREVILLE

State

Zip

62939

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023