MARTA IMA ATALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

MARTA

Middle

IMA

Last Name

ATALLA

Suffix

Business Name

MARTA IMA ATALLA MD

Original Issue Date

07/17/2009

Effective Date

07/17/2009

Expiration Date

07/31/2011

City

HOFFMAN EST

State

Zip

60169

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011