ABDELRAHMAN MOHAMED ABDALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

ABDELRAHMAN

Middle

MOHAMED

Last Name

ABDALLA

Business Name

ABDELRAHMAN MOHAMED ABDALLA MD

Original Issue Date

02/10/2010

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017