HOSSAM HAMDI ABDELSALAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

INACTIVE

Business

First Name

HOSSAM

Middle

HAMDI

Last Name

ABDELSALAM

Suffix

Business Name

HOSSAM HAMDI ABDELSALAM MD

Original Issue Date

02/28/2020

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2020