ELAMIN M ELAMIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

CANCELLED

Business

First Name

ELAMIN M

Last Name

ELAMIN

Suffix

Business Name

ELAMIN M ELAMIN MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006