ABRAHAM FALLAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

ABRAHAM

Last Name

FALLAH

Suffix

Business Name

ABRAHAM FALLAH MD

Original Issue Date

01/01/1997

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017