SAFWAT W WAHBA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SAFWAT W

Last Name

WAHBA

Suffix

Business Name

SAFWAT W WAHBA MD

Original Issue Date

10/11/1988

Effective Date

10/11/1988

Expiration Date

07/31/1993

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017