MOHAMMAD O SHAMMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

Last Name

SHAMMA

Suffix

Business Name

MOHAMMAD O SHAMMA MD

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011