HOMAM IBRAHIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

HOMAM

Last Name

IBRAHIM

Business Name

HOMAM IBRAHIM MD

Original Issue Date

10/08/2023

Effective Date

10/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/08/2023