FAISAL ABDELAZIZ IBRAHIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

FAISAL

Middle

ABDELAZIZ

Last Name

IBRAHIM

Business Name

FAISAL ABDELAZIZ IBRAHIM MD

Original Issue Date

05/10/2022

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023