AHMAD MUSTAPHA ABOU LEILA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

AHMAD

Middle

MUSTAPHA

Last Name

ABOU LEILA

Business Name

AHMAD MUSTAPHA ABOU LEILA MD

Original Issue Date

08/11/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023