MICHAEL K ABOUASSALY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

ABOUASSALY

Business Name

MICHAEL K ABOUASSALY MD

Original Issue Date

06/18/1998

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023