ASMA MOHAMED IBRAHIM MATOUGELWERFELLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

ASMA

Middle

MOHAMED IBRAHIM

Last Name

MATOUGELWERFELLI

Business Name

ASMA MOHAMED IBRAHIM MATOUGELWERFELLI MD

Original Issue Date

04/15/2024

Effective Date

04/15/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026