ABDALLAH ISSAM KABBARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

ABDALLAH

Middle

ISSAM

Last Name

KABBARA

Suffix

Business Name

ABDALLAH ISSAM KABBARA MD

Original Issue Date

03/21/2002

Effective Date

03/21/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006