AMJAD MAHMOUD JADDO ABUALSUOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

AMJAD

Middle

MAHMOUD JADDO

Last Name

ABUALSUOD

Business Name

AMJAD MAHMOUD JADDO ABUALSUOD MD

Original Issue Date

04/30/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023