ALA SAMI HADDADIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

ALA

Middle

SAMI

Last Name

HADDADIN

Business Name

ALA SAMI HADDADIN MD

Original Issue Date

03/08/2022

Effective Date

03/08/2022

Expiration Date

07/31/2023

City

JERSEYVILLE

State

Zip

62052

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023