MUSTAFA ALI ABDUL-HUSSEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

MUSTAFA

Middle

ALI

Last Name

ABDUL-HUSSEIN

Business Name

MUSTAFA ALI ABDUL-HUSSEIN MD

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024