FAISAL J ALBANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

FAISAL

Middle

Last Name

ALBANNA

Suffix

Business Name

FAISAL J ALBANNA MD

Original Issue Date

07/15/1987

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014