ABDALLAH MOHAMMAD AL MOUSSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

ABDALLAH

Middle

MOHAMMAD

Last Name

AL MOUSSA

Business Name

ABDALLAH MOHAMMAD AL MOUSSA MD

Original Issue Date

06/21/2019

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

SILVIS

State

Zip

61282

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023