ISMETH SUFI ABBAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

ISMETH

Middle

SUFI

Last Name

ABBAS

Suffix

Business Name

ISMETH SUFI ABBAS MD

Original Issue Date

12/20/2005

Effective Date

12/20/2005

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011