IBRAHIM B I ELAYYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

IBRAHIM

Middle

B I

Last Name

ELAYYAN

Business Name

IBRAHIM B I ELAYYAN MD

Original Issue Date

04/21/2010

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023