AHMED MOHAMED ATTIA ELDOKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

AHMED

Middle

MOHAMED ATTIA

Last Name

ELDOKLA

Business Name

AHMED MOHAMED ATTIA ELDOKLA MD

Original Issue Date

07/22/2016

Effective Date

07/22/2016

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017