SAFAA ZIDAN ABDEL-AL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

SAFAA

Middle

ZIDAN

Last Name

ABDEL-AL

Suffix

Business Name

SAFAA ZIDAN ABDEL-AL MD

Original Issue Date

05/18/2000

Effective Date

05/18/2000

Expiration Date

07/31/2002

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006