ABDELRAHMAN MOHAMED ABDALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105575

License Status

NOT RENEWED

Business

Title

First Name

ABDELRAHMAN

Middle

MOHAMED

Last Name

ABDALLA

Business Name

ABDELRAHMAN MOHAMED ABDALLA MD

Original Issue Date

09/12/2001

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017