MAISA ISMAIL ABDALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

MAISA

Middle

ISMAIL

Last Name

ABDALLA

Business Name

MAISA ISMAIL ABDALLA MD

Original Issue Date

04/26/2011

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014