KAMAL N IBRAHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

KAMAL N

Last Name

IBRAHIM

Suffix

Business Name

KAMAL N IBRAHIM MD

Original Issue Date

08/22/2005

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020