DAVID ADEL IBRAHIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

ADEL

Last Name

IBRAHIM

Business Name

DAVID ADEL IBRAHIM MD

Original Issue Date

04/14/2017

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023