MOTAZ ALBAHRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

CANCELLED

Business

First Name

MOTAZ

Last Name

ALBAHRA

Suffix

Business Name

MOTAZ ALBAHRA MD

Original Issue Date

03/29/1984

Effective Date

03/29/1984

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006