IBRAHIM ABDALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Last Name

ABDALLA

Suffix

Business Name

IBRAHIM ABDALLA MD

Original Issue Date

05/28/1998

Effective Date

12/09/2011

Expiration Date

07/31/2014

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020