TAREK SALIM HADLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

TAREK

Middle

SALIM

Last Name

HADLA

Suffix

Business Name

TAREK SALIM HADLA MD

Original Issue Date

03/17/2009

Effective Date

03/17/2009

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011