MAAN S EL KHADRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

MAAN S

Last Name

EL KHADRA

Suffix

Business Name

MAAN S EL KHADRA MD

Original Issue Date

12/31/1987

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023