YAZAN A ABU QWAIDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

YAZAN

Middle

Last Name

ABU QWAIDER

Business Name

YAZAN A ABU QWAIDER MD

Original Issue Date

10/19/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023