PHILIP M ABRAHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

Last Name

ABRAHAM

Business Name

PHILIP M ABRAHAM MD

Original Issue Date

09/24/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023