WESAM ABDULATI BOLKHIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

WESAM

Middle

ABDULATI

Last Name

BOLKHIR

Business Name

WESAM ABDULATI BOLKHIR MD

Original Issue Date

11/15/2017

Effective Date

11/15/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021