KHALED MI NAZZAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

KHALED

Middle

Last Name

NAZZAL

Suffix

Business Name

KHALED MI NAZZAL MD

Original Issue Date

08/24/2005

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014