IHAB O HAMMOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

IHAB

Middle

Last Name

HAMMOUD

Suffix

Business Name

IHAB O HAMMOUD MD

Original Issue Date

02/17/2010

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021