TALAL SHAWKI HAMDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

TALAL

Middle

SHAWKI

Last Name

HAMDAN

Business Name

TALAL SHAWKI HAMDAN MD

Original Issue Date

07/16/2012

Effective Date

07/16/2012

Expiration Date

07/31/2014

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014