EMAD FATHY ISRAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

EMAD FATHY

Last Name

ISRAEL

Suffix

Business Name

EMAD FATHY ISRAEL MD

Original Issue Date

01/23/1997

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017